Järhult B, Persson G B, Valeur E
Nord Med. 1983;98(2):35-9.
Hoarseness is a symptom that is constantly encountered by doctors in primary care. It is the leading symptom in acute laryngitis and is often present as one of the symptoms in, for example, respiratory tract infections, influenza, and bronchitis. For the general practitioner, the infection factor as the cause of hoarseness is so dominant that other possible causes may fail to be taken into consideration. The general practitioner's possibilities for diagnosing the cause of this symptom are largely determined by habit, and by his ability to observe and assess the vocal chords. Examination of the vocal chords is often technically difficult, and patients in whom inspection presents difficulties should be remitted to an ear specialist. Hoarse smokers constitute a special group at risk, and these patients should be remitted for further examinations, if the general practitioner finds it hard to make a complete inspection of the chords. The article also describes an investigation on how hoarseness is handled at a health centre.
声音嘶哑是基层医疗中医生经常遇到的一种症状。它是急性喉炎的主要症状，并且常作为例如呼吸道感染、流感和支气管炎等疾病的症状之一出现。对于全科医生来说，感染因素作为声音嘶哑的病因占主导地位，以至于其他可能的病因可能未被考虑到。全科医生诊断该症状病因的能力很大程度上取决于习惯以及观察和评估声带的能力。声带检查在技术上通常有难度，对于那些检查存在困难的患者，应转诊至耳鼻喉专科医生处。嗓音嘶哑的吸烟者构成一个特殊的风险群体，如果全科医生难以对声带进行全面检查，这些患者应转诊做进一步检查。本文还描述了一项关于健康中心如何处理声音嘶哑问题的调查。
