本文报告通过病史采集、物理检查及实验检查等对耳鸣患者进行早期评价的方法及有关问题。详细的病史对鉴别耳蜗性与蜗外性耳鸣有重要意义。蜗外性耳鸣多为血管搏动、跳动声,包括肿瘤和动静脉杂音所致,这种耳鸣可随运动和头部位置变化而改变。蜗外性耳鸣的另一原因为中耳或咽部肌肉有节律的收缩所致,称为肌阵挛性耳鸣,它不随脉率而改变,但常因吞咽或张口而出现短暂的抑制。蜗性耳鸣则具有多种感觉特性,包括鸣响、轰鸣、嗡嗡声、嘶嘶声、海潮声、哨声、虫鸣声或蟋蟀声等。上述声音可二种或二种以上同时出现, This article reports on methods of early evaluation of tinnitus patients through medical history collection, physical examination and laboratory tests, and related issues. A detailed history of the identification of cochlear and extra-nocturnal tinnitus is of great significance. Cochlear extranodal tinnitus and more blood vessels beating, beating sound, including tumor and arteriovenous murmur caused by this tinnitus can change with the movement and head position changes. Another cause of extranodal tinnitus is caused by the rhythmic contraction of the middle or pharyngeal muscles called myoclonus tinnitus, which does not change with pulse rate, but is often transiently inhibited by swallowing or opening. Cochlear tinnitus has a variety of sensory characteristics, including ringing, roar, buzzing, hissing, tide sound, whistles, buzzing sound or cricket sound and so on. The above sound can be two or more simultaneously appear,