主诉咽喉部不适的病例很常见.作者于1976年在某农药厂搞体检时发现有咽喉部不适者占受检人数的60%,1978年再次体检则上升为86%.而从事化工、粉尘、文教工作等人群中也易患此症.现就近年来所遇有关咽喉部不适病例略加讨论.咽喉部不适的常见表现1、咽部疼痛:可分自发性及激发性两种.自发性疼痛多为咽部各种急性或慢性炎症,少数为某些慢性特殊感染所致.如咽喉结核所致的咽痛,粒性白细胞减少症的咽痛,急性会厌感染的咽痛.激发性疼痛一般较少,茎突过长症及舌咽神经痛可有激发性疼痛.2、咽喉部异物刺激感:悬壅垂过长、扁桃体角化症、舌根部静脉曲张、扁桃体慢性炎症等,都可有异物感或梗阻感.如有明显的异物史者,常在扁桃体、舌根部或梨状窝发现异物.无异物史而有咽喉部异物感者,可见于患扁桃体癌、咽喉部毛细血管瘤、甲状腺肿大等.3、咽喉部干燥感:①感冒初起,多有鼻咽部干痛;②鼻腔病变 The chief complaint about throat discomfort was common, and when the author found a throat discomfort in 1976 at a pesticide plant that accounted for 60% of the number of examinations and returned to 86% in 1978, those who engaged in chemical, dust, Cultural and educational work and other groups are also susceptible to this disease.Now on the case of throat discomfort encountered in recent years, a slight discussion. Common manifestations of throat discomfort 1, pharyngeal pain: spontaneous and can be divided into two kinds of spontaneous pain More for the pharynx various acute or chronic inflammation, a few caused by some chronic special infections, such as pharyngolaryngitis caused by throat tuberculosis, pharyngocytopenia sore throat, acute epiglottis infection of sore throat. Less, styloid process and glossopharyngeal neuralgia may have irritating pain.2, Throat foreign body sensation: hanging over hanging long, tonsillitis, tongue root varicose veins, chronic inflammation of the tonsils, etc. There is a sense of foreign body or obstruction.If there is a clear history of foreign body, often found in the tonsils, tongue base or pear-shaped nest foreign body.No foreign body history and throat foreign body sensation, can be found in patients with tonsillar cancer, throat, capillary hemangioma , Goiter, etc. 3, throat Dry sense: ① beginning of a cold, dry more than a nasopharyngeal pain; ② nasal lesions