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对 12 4例 199耳首发症状为耳鸣的分泌性中耳炎进行分析 ,发现上呼吸道感染占 5 1.35 % ,是发病的主要因素。诊断的关键在详细病史 ,鼓膜象及听力学检查。耳鸣性质依次为吹风样、流水音、搔抓声、难以表达、汽笛音、哨音、蝉鸣音。低音调耳鸣主要表现在急性期及浆液性、混合性积液中 ,听力损失呈中低频区传导性聋 ;高音调耳鸣主要在慢性期粘液性积液耳 ,听力损失呈混合性、感音性聋。说明 :耳鸣性质及听力损失程度取决于病程及中耳积液物理特性 ,主要与积液对中耳腔的刺激和内耳损伤有关。
Analysis of 122 cases of otitis media with initial symptoms of 199 ears tinnitus found that upper respiratory tract infection accounted for 5 1.35%, which was the main factor in the pathogenesis. The key to diagnosis is detailed medical history, tympanic membrane imaging and audiological examination. Tinnitus nature followed by hair style, water sound, scratching sound, difficult to express, whistle sound, whistle sound, cicadas sound. Low pitched tinnitus mainly manifested in acute and serous, mixed effusion, hearing loss in the middle and low frequency of conductive deafness; high pitched tinnitus mainly in chronic mucinous effusion, hearing loss was mixed, sensitive deaf. Description: The nature of tinnitus and the degree of hearing loss depends on the duration and physical characteristics of the middle ear effusion, mainly with the effusion on the stimulation of the middle ear cavity and the inner ear damage.