Department of Otolaryngology-Head and Neck Surgery, University of Texas Southwestern Medical Center at Dallas, 5323 Harry Hines Boulevard, Dallas, TX 75390-9035, USA.
Med Clin North Am. 2010 Sep;94(5):923-43. doi: 10.1016/j.mcna.2010.06.001.
Sore throat is a common medical complaint seen by the emergency practitioner, internist, pediatrician, and otolaryngologist. The differential for sore throat is vast. However, with a directed history this can often be narrowed down to 2 to 3 possible diagnoses. By paying particular attention to the associated symptoms and duration of symptoms, common self-limited etiologies like viral pharyngitis and nonstreptococcal tonsillitis can be distinguished from those that require more investigation, such as supraglottitis and tonsillar cancer. A sore throat is most commonly caused by an infectious, inflammatory, or neoplastic etiologic factor.
喉咙痛是急诊医生、内科医生、儿科医生和耳鼻喉科医生常见的医学主诉。喉咙痛的鉴别诊断范围很广。然而，通过有针对性的病史询问，通常可以将其缩小到 2 到 3 种可能的诊断。通过特别注意相关症状和症状持续时间，可以将常见的自限性病因（如病毒性咽炎和非链球菌性扁桃体炎）与需要进一步检查的病因（如会厌炎和扁桃体癌）区分开来。喉咙痛最常见的原因是感染性、炎症性或肿瘤性病因。
