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[咽鼓管异常开放]

[Patulous eustachian tube].

作者信息

Kovacević D, Radosavljević M, Jelesijević J

机构信息

Institute for Helth Care for Zastava Factory Workers, Kragujevac.

出版信息

Srp Arh Celok Lek. 1995 Mar-Apr;123(3-4):105-7.

Abstract

Patulous eustachian tube is a pathological condition which exists more often than we make a diagnosis, and a patient is not often aware of his disease. This disease can be manifested with various symptoms: respiratory synchrony noises in the ear, because of the penetration of the air current through the eustachian tube and with the movement of the eardrum outwards and inside, with autophony, reduction of the hearing, the buzzing, dizziness and disturbance of the balance. Two patients are presented. The first one was sick for many years from various chronics exhausted diseases: Jackson's epilepsy, temporary vascular brain disturbances, tuberculosis of lung, stomach ulcer, heart diseases, the patient is from low class, on one side, and also suffers from some local diseases: a paralysis of soft palate and palatal arcs, a chronic catarrhal rhinitis and sinusitis, a deviation of nasal dividing wall and hindered breathing through the nose, on the other side. Many years the patient didn't know for patological condition in the ears and in the eustachian tubes. After improving the hygienic conditions, the physical condition and local therapy, the patient felt much better. The second patient, with considerable shorter evolution of the disease and mild symptomatology, showed the amplified symptoms of the disease of the Eustachian tube in the course of the acute otitis. It is attained a satisfying calming of the manifestative symptoms by remedy therapie. Man must thing about possibility of the appearance of this pathology condition in various disease or conditions, which can take to the fast lost of the weight and physical and moral exhaustion of the patient, i.e. an adult, first as the protection of the appearance of the disease (condition) and afterwards, eventually early and regulary treatment in order to prevent various possible, above mentioned complications.

摘要

咽鼓管异常开放是一种比我们诊断出的更为常见的病理状况,患者往往并未意识到自己患有此病。这种疾病可表现为多种症状:耳部出现呼吸同步性杂音,这是由于气流通过咽鼓管以及鼓膜内外运动所致;还有自听过强、听力下降、耳鸣、头晕及平衡障碍。本文介绍了两名患者。第一名患者患有多种慢性消耗性疾病多年:杰克逊癫痫、短暂性脑血管紊乱、肺结核、胃溃疡、心脏病,一方面患者社会阶层较低,另一方面还患有一些局部疾病:软腭及腭弓麻痹、慢性卡他性鼻炎和鼻窦炎、鼻中隔偏曲以及鼻塞。多年来,该患者都不知道自己耳部及咽鼓管存在病理状况。改善卫生条件、身体状况并进行局部治疗后,患者感觉好多了。第二名患者病程明显较短且症状较轻,在急性中耳炎病程中表现出咽鼓管疾病的症状加重。通过药物治疗使明显症状得到了令人满意的缓解。人们必须考虑到在各种疾病或状况中出现这种病理状况的可能性,这可能导致患者迅速体重减轻以及身心疲惫,也就是说,对于成年人而言,首先是预防疾病(状况)的出现,然后最终尽早且定期进行治疗,以预防各种上述可能的并发症。

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