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听力损失和血液凝结障碍:一篇综述
Virginia Corazzi1, Andrea Migliorelli1, Chiara Bianchini1
1ENT and Audiology Unit, Department of Neurosciences and Rehabilitation, University Hospital of Ferrara, 44124 Ferrara, Italy.
Hematology reports
|July 25, 2023
概括
血液凝固障碍可能会增加感官神经听力损失 (SNHL) 的风险. 建议对突然SNHL患者进行凝血测试,对于患有凝血疾病和耳症状的人进行听力学评估.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 血液学 血液学 血液学
- 血管医学 血管医学
背景情况:
- 已确认微血管问题与感觉神经听力损失 (SNHL) 之间的联系.
- 血管假设表明耳缺血或出血导致突然SNHL (SSNHL).
研究的目的:
- 审查血液凝结障碍对听力的影响.
- 探索潜在的机制,将凝血障碍与听力损失联系起来.
主要方法:
- 进行了符合PRISMA的系统审查.
- 搜索了Medline,Embase和Cinahl数据库,截至2023年1月31日.
- 在最终分析中包括了14项研究.
主要成果:
- 凝血障碍与SNHL的风险增加有关.
- 建议对SSNHL患者进行凝血测试和前血栓因子评估.
- 对于患有凝血障碍和耳症状的患者,建议进行听力学评估.
结论:
- 血液凝固障碍是感觉神经听力损失的潜在危险因素.
- 需要进一步调查听力损失中的前栓塞性和出血性疾病.
- 综合的听力学和血液学评估可能会改善患者的治疗结果.
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