Ruckenstein M J
Department of Otolaryngology--Head and Neck Surgery, University of Tennessee, Memphis, College of Medicine 38163, USA.
Postgrad Med. 1995 Oct;98(4):197-200, 203, 206 passim.
Because some cases of hearing loss demand urgent attention, an approach to patients with hearing loss should be adopted in the primary care setting that allows for systematic institution of an individualized and appropriate treatment plan. Workup is enhanced by categorizing the hearing loss as acute or chronic and conductive or sensorineural. The Rinne and Weber tuning fork tests are the most important tools in distinguishing between conductive and sensorineural hearing loss. The patient history and otologic examination also provide diagnostic clues. Treatment depends on the cause and the type of hearing loss.
由于某些听力损失病例需要紧急关注,因此在初级保健机构中应采用一种针对听力损失患者的方法,以便系统地制定个性化且合适的治疗方案。通过将听力损失分类为急性或慢性以及传导性或感音神经性,可加强检查。林纳(Rinne)和韦伯(Weber)音叉试验是区分传导性和感音神经性听力损失的最重要工具。患者病史和耳科检查也能提供诊断线索。治疗取决于听力损失的病因和类型。