耳的症状学1.耳痛(otalgia)耳内或耳周疼痛原发性：耳外伤、外耳、中耳部炎性疾病、耳部恶性肿瘤等继发性：邻近器官一口腔、咽部、喉部、颇颌关节、颈部。由神经发射所致。四川大學单西医院WESTCHINAHOSPITAL,S.U
耳的症状学 ➢ 1.耳痛（otalgia） 耳内或耳周疼痛 原发性：耳外伤、外耳、中耳部炎性疾病、 耳部恶性肿瘤等。 继发性：邻近器官—口腔、咽部、喉部、 颞颌关节、颈部。由神经发射所致
耳的症状学1.耳痛(otalgia)关注点：疼痛部位疼痛性质持续情况加重缓解因素周围组织及器官情况四川大學单西医院WESTCHINAHOSPITALS.U
耳的症状学 ➢ 1.耳痛（otalgia） 关注点： 疼痛部位 疼痛性质 持续情况 加重缓解因素 周围组织及器官情况
耳的症状学2.耳漏（耳溢液，otorrhea）系指外耳道积聚或流出液体，外耳道、中耳或其周围组织的急慢性炎症、创伤、肿瘤等都可引起耳漏，但以炎性病变所致者为常见关注点：耳漏性质一颜色、量、气味四川大學单西医院WEST CHINAHOSPITALS.U
耳的症状学 ➢ 2.耳漏（耳溢液，otorrhea） 系指外耳道积聚或流出液体，外耳道、中 耳或其周围组织的急慢性炎症、创伤、肿瘤等 都可引起耳漏，但以炎性病变所致者为常见。 关注点： 耳漏性质—颜色、量、气味
耳的症状学油脂样：黄色或棕褐色液体积附于外耳道多为耵眸腺分泌物一量少且稳定，持续时间长。胶水样：多为中耳粘膜粘液腺分泌物，常见于慢性化脓性中耳炎。脓性：多见于急、慢性化脓性中耳炎：若脓液不多而具恶臭者，应考虑胆脂瘤的可能。清水样：多为脑脊液耳漏血性：应考虑大疱性鼓膜炎、耳外伤、颈静脉球体瘤或中耳恶性肿瘤等四川大學单西医院WESTCHINAHOSPITAL,S.U
耳的症状学 油脂样：黄色或棕褐色液体积附于外耳道， 多为耵聍腺分泌物——量少且稳定，持续时间 长。 胶水样：多为中耳粘膜粘液腺分泌物，常 见于慢性化脓性中耳炎。 脓性：多见于急、慢性化脓性中耳炎；若 脓液不多而具恶臭者，应考虑胆脂瘤的可能。 清水样：多为脑脊液耳漏。 血性：应考虑大疱性鼓膜炎、耳外伤、颈 静脉球体瘤或中耳恶性肿瘤等
Case 1A 48-year-old woman who had worn a hearing aidin her left ear for many years presented to theemergency department with severe otalgia of 1day's duration. Bloody otorrhea in the left ear wasnoted after the hearing aid was removed. Physicalexamination showed a fruit-fly larva moving in theleft external auditory canal (see video). The skinover the floor of the auditory canal, close to theeardrum, was eroded. The larva was removeduneventfully, and the patient received topicalantibiotic treatment with ofloxacin. The otalgiaresdlved mmediately and2 weeks after treatmerosioh in the leftrauditory canal was
Case 1 A 48-year-old woman who had worn a hearing aid in her left ear for many years presented to the emergency department with severe otalgia of 1 day's duration. Bloody otorrhea in the left ear was noted after the hearing aid was removed. Physical examination showed a fruit-fly larva moving in the left external auditory canal (see video). The skin over the floor of the auditory canal, close to the eardrum, was eroded. The larva was removed uneventfully, and the patient received topical antibiotic treatment with ofloxacin. The otalgia resolved immediately, and 2 weeks after treatment, the erosion in the left auditory canal was completely healed