作者经鼓室探查并诊断因蜗窗瘘管引起的突发性聋5例。其中3例与中耳气压突然改变有关;1例与提重物有关;1例因耳部暴露于爆震环境中引起。此病的临床表现迥异,但听力减退及耳鸣乃经常出现症状。在作者报告的病例中,有一例出现部份窗膜的异常运动,并与眩晕、眼震有关。这种现象第一次被发现,作者希望通过此文能引起耳科医生们对此病可能引起的症状、体征提高警惕。作者对有蜗窗膜破裂可疑的病人给与以下处理:1.绝对卧床休息,给与轻泻剂和轻镇静剂,并及早作电测听和前庭功能检查。不用激素、抗菌素。2.听力和前庭主、客观征状如在24—48小时内好转,则继续采用上述治疗。 The author explored and diagnosed 5 cases of sudden deafness caused by fistulae through the tympanic cavity. Among them, 3 cases were related to the abrupt changes of pressure in the middle ear; 1 case was related to the lifting object; 1 case was caused by the exposure of the ear to the detonation environment. The clinical manifestations of the disease vary, but hearing loss and tinnitus are often symptoms. In the cases reported by the authors, there was a case of abnormal movement of some window films and was associated with vertigo and nystagmus. This phenomenon was first discovered, and the authors hope that the passage of this article will cause otologists to be wary of the symptoms and signs that the disease may cause. The author of the patients with suspected rupture of the diaphragm have the following treatment: 1. Absolute bed rest, given laxatives and light sedatives, and as early as audiometry and vestibular function tests. No hormones, antibiotics. 2. Listening and forensics, objective symptoms such as improved within 24-48 hours, then continue to use the treatment.