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耳鼻喉科门诊实践中医生和患者引发的疾病。

Physician and patient-induced diseases in otolaryngology office practice.

作者信息

Schramm V L

出版信息

Laryngoscope. 1976 Oct;86(10):1524-30. doi: 10.1288/00005537-197610000-00006.

DOI:10.1288/00005537-197610000-00006
PMID:966917
Abstract

"Theragenic" diseases produce common ENT complaints. They are frequently and predictably induced by self or physician treatment. Fifteen percent of first office visits in various practice situations stem from therapeutically-induced disease. Self treatment by cotton tip applicator ear cleaning, nasal decongestants, mouth washes, and lozenges produce symptoms which mimic other etiologies. Prescription medications produce diseases with ENT symptoms which are based on pharmacologic toxicity, multiple drug therapy, drug intolerance, and occasional idiopathic hypersensitivity. The treatment of these diseases is simple and effective once their etiology is discovered.

摘要

“治疗性”疾病会引发常见的耳鼻喉科症状。它们常常且可预测地由自我治疗或医生治疗诱发。在各种临床场景中,15%的首次就诊源于治疗诱发的疾病。用棉棒清洁耳朵、使用鼻减充血剂、漱口水和含片进行自我治疗会产生类似其他病因的症状。处方药会引发具有耳鼻喉科症状的疾病,这些疾病基于药物毒性、联合用药、药物不耐受以及偶尔的特发性超敏反应。一旦发现这些疾病的病因,其治疗简单有效。

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