Lallemant Y, Rigothier G, Gehanno P
Ann Otolaryngol Chir Cervicofac. 1980 Oct-Nov;97(10-11):857-72.
The diagnosis of allergic rhinitis varies in difficulty and is based upon evaluation of all information provided essentially by clinical examination and skin test, it being essential that responses to the latter should be not only local but focal in order to be valid. With regard to laboratory examinations, in particular measurement of IgE, they offer significant confirmation in difficult cases. Diagnostic and therapeutic problems differ according to whether the problem is one of seasonal rhinitis, aperiodic rhinitis, longstanding rhinitis and forms in the child. The secret of complete cure of allergic rhinitis remains to be found. The multitude of clinical types is such that no single form of therapy may be proposed. Amongst the many solutions offered, treatment carried out by the oto-rhino-laryngologist may be effective, but an essential rule is to be satisfied with fulfilling the desires of the patient without seeking to exceed them.
变应性鼻炎的诊断难度各异,其诊断基于对主要通过临床检查和皮肤试验所提供的所有信息的评估,为确保结果有效,后者的反应不仅应是局部的,而且应是局限性的。关于实验室检查,特别是IgE的测定,它们在疑难病例中能提供重要的确诊依据。根据问题是季节性鼻炎、非周期性鼻炎、慢性鼻炎还是儿童鼻炎,诊断和治疗问题会有所不同。变应性鼻炎完全治愈的秘诀仍有待发现。临床类型繁多,以至于无法提出单一的治疗方式。在众多提供的解决方案中,耳鼻喉科医生进行的治疗可能有效,但一个基本规则是满足患者的需求而不试图过度。