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耳鸣是常见症状,但治疗却很困难。根据患者主诉可将耳鸣分为:颅鸣,耳内性耳鸣,一侧或双侧性、高音或低音性、持续及间歇性耳鸣等。根据检查所见又可分为自觉性和他觉性耳鸣,全身性及耳性耳鸣。耳性耳鸣结合听力障碍则可分为传导性耳鸣、感音性耳鸣和混合性耳鸣等。引起耳鸣原因的学说很多,有血管杂音学说、鼓室神经丛刺激学说、鼓索神经刺激学说、内耳压力学说、内耳毛细胞异常兴奋学说、咽鼓管病变学说、内耳神经放电学说、内耳淋巴液变化及药物中毒等学说。治疗方法有全身疗法及局部疗法。
Tinnitus is a common symptom, but treatment is difficult. Tinnitus can be divided according to the patient’s complaint: cranial, ear tinnitus, one or both sides, treble or bass, continuous and intermittent tinnitus. According to the inspection can be divided into consciousness and he felt tinnitus, systemic and ear tinnitus. Ear tinnitus combined with hearing disorders can be divided into conductive tinnitus, sensorial tinnitus and mixed tinnitus. Cause of tinnitus caused by many theories, there are vascular murmur theory, tympanic plexus stimulation theory, the theory of stimulation of the cranial nerves, the inner ear pressure theory, inner ear hair cells abnormal excitability theory, eustachian tube lesions theory, inner ear nerve discharge theory, inner ear lymph fluid changes And drug poisoning theory. Treatment of systemic therapy and local therapy.