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首页> 外文期刊>JAMA otolaryngology-- head & neck surgery >Vertigo and sudden hearing loss at 35 000 feet
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Vertigo and sudden hearing loss at 35 000 feet

机译：眩晕和35 000英尺突然听力下降

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摘要

A woman in her 70s presented after experiencing a sudden right-sided hearing loss during descent on a commercial air flight. She reported right-sided tinnitus, otalgia, and vertigo with nausea and vomiting. Her medical history included eustachian tube dysfunction and pressure-induced tympanic membrane perforations; however, she denied a history of vertigo. The Weber test lateralized to the left ear usinga512-Hztuningfork. Cranial nerves III to VII and IX to XII were normal. The patient was nonambulatory and complained of motion-induced vestibular symptoms. Audiometric test results revealed a right-sided profound mixed hearing loss with severe discrimination impairment, and the left ear had a severe high-frequency hearing loss with normal word discrimination. The right pure-tone average (PTA) was 85 dB and the left was 22 dB.
机译：一名70多岁的妇女在下飞机进行商业飞行时在右侧突然听力下降后出现。她报告右侧耳鸣，眼痛和眩晕伴恶心和呕吐。她的病史包括咽鼓管功能障碍和压力引起的鼓膜穿孔。但是，她否认有眩晕史。 Weber测试使用512-Hz的音叉偏向左耳。颅神经III至VII和IX至XII正常。该患者不能走动，主诉运动引起的前庭症状。听力测试结果显示，右侧严重混合听力障碍伴有严重的歧视性障碍，而左耳则患有严重的高频听力障碍，伴有正常的单词歧视。右侧纯音平均值（PTA）为85 dB，左侧为22 dB。

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