论文部分内容阅读
耳痛是一个很常见的耳部症状,其原因可分为三类;第一是属于耳部本身的病变,称为耳源性原因。第二是非耳部病变所引起的属非耳源性原因,称之为牵涉性耳痛或反射性耳痛。第三是在否定明显器质性病变后才予诊断的功能性耳痛。耳部包括耳廓、外耳道、鼓膜、鼓室和乳突。其感觉神经来自三叉神经的第三支、舌咽神经、迷走神经和第二、三颈神经,因此,受上述各神经支配的其它部位发生的病变,均可引起耳痛。当耳部检查正常时就要详细询问病史及仔细观察口、咽、喉部,包括牙、舌、扁桃体、咽鼓管、颞颌关节甚至气管等处,才能获得确诊。作者在1978年7月至1983年6月5年间,共收集有耳痛主诉症状的260例,着重对病因和诊断问题分析如下:
Earache is a very common ear symptoms, the reasons can be divided into three categories; the first is the ear itself lesions, known as otological causes. The second is caused by non-ear disease is a non-otological causes, referred to as involved or erectile pain earache. The third is to make a diagnosis of functional earache after denying obvious organic disease. Ear includes the pinna, external auditory canal, tympanic membrane, tympanic cavity and mastoid. The sensory nerves come from the third branch of the trigeminal nerve, the glossopharyngeal nerve, the vagus nerve and the second and third cervical nerves. Therefore, the lesions that occur in other parts of the innervated nerves can cause earache. When ear examination is normal, it is necessary to ask history and careful observation of the mouth, pharynx, larynx, including teeth, tongue, tonsil, eustachian tube, temporomandibular joint or trachea, etc., in order to obtain the diagnosis. Between July 1978 and June 1983, the authors collected a total of 260 cases of complaints of earache symptoms, focusing on the cause and diagnosis of the problem are as follows: