（翻译优化）8.3Hearing Loss-english version.pptVIP

突发性聋（Sudden sensorineural deafness) 定义：突然发生的病因不明的感音神经性聋，发病时间不超过72小时，听力下降程度为至少相邻2个频率处纯音听阈阈值在20dB HL以上。 病因学机制： 病毒感染学说 微循环障碍学说 自身免疫学说 膜迷路破裂学说 突发性耳聋 突发性耳聋 特征： 非波动性 病因不明 可伴有眩晕 无其他颅神经病变 突然发生 治疗首选激素，以及抗凝溶栓、抗病毒、扩血管改善微循环、营养神经等 越早治疗效果越好 5. All of the following have been implicated in causing vertigo except: a. Loop diuretics b. Anticonvulsants c. Aminoglycosides d. NSAIDS e. Fluoroquinolones f . All of the above Many everyday medications can cause vertigo which is easily reversible if recognized. Thanks for your attention Anatomy of the ear How hearing works: Sound pressure wave TM and ossicular movement Fluid wave in cochlea Mechano-electrical transduction Neural signal goes to brain (next slide) INSERT (REPEAT?) PICTURE OF ANATOMY TO EXPLAIN THIS Types of hearing loss Conductive Sensorineural Mixed Independent causes Same or related cause (e.g. otosclerosis, SSCD, cholesteatoma?) Conductive Sensorineural Mixed Classification of hearing loss INSERT SLIDE OF AUDIOMETRY EQUIPMENT/BOOTH AND SOMETHING TO EXPLAIN AIR AND BONE CONDUCTION INSERT SLIDE OF DIFFERENT TYPES OF AIDS Hearing Loss耳 聋 康厚墉 副教授、硕导 khydoctor@ 重庆医科大学耳鼻咽喉科学教研室 重庆医科大学附属第一医院耳鼻咽喉-头颈外科 19-10-2016 Definition 定义 Hearing loss（听力下降，耳聋） exists when there is diminished 减弱的 sensitivity to the sounds normally heard Hearing impaired（听力障碍） or hard of hearing（重听） are usually reserved for people who have relative insensitivity to sound in the speech frequencies 语频 Deafness（耳聋） is defined as a degree of loss such that a person is unable to understand speech even in the presence of amplification 放大器 Classification of Hearing Loss 耳聋分类 Conductive Hearing loss（传导性聋） caused by something that stops sounds from getting through the outer or middle ear This type of hearing loss can often be treated with medicine or surgery Sensorineural Hearing loss（感音神经性聋） Occurs when there is a problem in the way the inner ear or hearing nerve works Mixed Hear