Zivic R C, King S
Sparrow Hospital and Health System, Lansing, Mich.
Nurse Pract. 1993 Mar;18(3):29, 33-6, 39. doi: 10.1097/00006205-199303000-00011.
A cerumen plug in the external auditory canal can cause dizziness, pain, itching, ringing or decreased hearing. These symptoms are particularly distressing to elderly clients who may already have compromised hearing or be experiencing changes in functional ability. A cerumen plug that causes hearing impairments can retard children's educational and psychosocial development. This article focuses on the physiology of cerumen, the risk factors of cerumen plugs and the best way to remove cerumen in clients of all ages. The contraindications and complications of aural lavaging and instrument removal of cerumen are discussed. An ear-irrigation flow sheet is also included for ambulatory clinical use.
外耳道耵聍栓塞可导致头晕、疼痛、瘙痒、耳鸣或听力下降。这些症状对老年患者来说尤其困扰，因为他们可能已经存在听力受损或正经历功能能力的变化。导致听力障碍的耵聍栓塞会阻碍儿童的教育和心理社会发展。本文重点关注耵聍的生理机制、耵聍栓塞的危险因素以及各年龄段患者清除耵聍的最佳方法。文中还讨论了耳部冲洗和器械清除耵聍的禁忌证及并发症。此外，还提供了一份用于门诊临床的耳部冲洗流程表。
