Ostrowski V B, Wiet R J
Chicago College of Osteopathic Medicine, Downers Grove, Illinois, USA.
Postgrad Med. 1996 Sep;100(3):223-8, 233-7. doi: 10.3810/pgm.1996.09.79.
Primary care physicians are influential in diagnosing and initiating treatment of most pathologic conditions in patients with a history of hearing loss, chronic ear infection, diabetes, immunosuppression, or otologic symptoms with excessive exposure to sunlight. Lesions of the external ear and the external auditory canal (external acoustic meatus) are significant and common. Patients with such a history should have a thorough basic examination, which can be done with simple tools. Symptoms of hearing loss, otalgia, otorrhea, tinnitus, aural fullness, vertigo, and facial weakness may warrant referral of the patient to an otolaryngologist. The crux of preventing worsening otologic sequelae is early detection and treatment.
对于有听力损失、慢性耳部感染、糖尿病、免疫抑制病史或有过度日晒导致耳科症状的患者，初级保健医生在诊断和启动大多数病理状况的治疗方面具有影响力。外耳和外耳道（外耳道）的病变很显著且常见。有此类病史的患者应进行全面的基础检查，这可以用简单的工具完成。听力损失、耳痛、耳漏、耳鸣、耳闷、眩晕和面部无力等症状可能需要将患者转诊给耳鼻喉科医生。预防耳科后遗症恶化的关键在于早期发现和治疗。
