[转帖]耳鸣提示哪些病
<p class="MsoNormal" align="center" style="BACKGROUND: #f6fbf3; MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 21pt; TEXT-ALIGN: center; mso-pagination: widow-orphan; mso-outline-level: 2;"><b><span style="FONT-SIZE: 19.5pt; COLOR: black; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 18.0pt;">耳鸣提示哪些病<span lang="EN-US"><p></p></span></span></b></p><p class="MsoNormal" align="left" style="BACKGROUND: #f6fbf3; MARGIN: 0cm 0cm 21pt; LINE-HEIGHT: 21pt; TEXT-ALIGN: left; mso-pagination: widow-orphan;"><span style="COLOR: black; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-bidi-font-size: 10.5pt;"> </span><span lang="EN-US" style="COLOR: #ff3300; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-bidi-font-size: 10.5pt;">◆</span><span lang="EN-US" style="COLOR: black; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-bidi-font-size: 10.5pt;"></span><b><span style="COLOR: black; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">全身性疾病</span></b><span lang="EN-US" style="COLOR: black; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-bidi-font-size: 10.5pt;"><p></p></span></p><p class="MsoNormal" align="left" style="BACKGROUND: #f6fbf3; MARGIN: 0cm 0cm 21pt; LINE-HEIGHT: 21pt; TEXT-ALIGN: left; mso-pagination: widow-orphan;"><span style="COLOR: black; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-bidi-font-size: 10.5pt;"> 当肾病、肝胆疾病、糖尿病、结核病、慢性支气管炎等导致全身功能紊乱时，常会出现耳鸣症状，其特点与药物中毒引起的耳鸣一样，都是高音调、双侧性。这种耳鸣一般会随上述疾病的康复而消失。此外，有资料表明，耳鸣可能是冠心病的先兆。据统计，在有耳鸣的冠心病患者中，<span lang="EN-US">86.7</span>％的患者耳鸣比心绞痛先出现，<span lang="EN-US">8.6</span>％的患者心绞痛和耳鸣同时出现。这是因为耳蜗对缺血缺氧比较敏感。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" align="left" style="BACKGROUND: #f6fbf3; MARGIN: 0cm 0cm 21pt; LINE-HEIGHT: 21pt; TEXT-ALIGN: left; mso-pagination: widow-orphan;"><span style="COLOR: black; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-bidi-font-size: 10.5pt;"> </span><b><span style="COLOR: #ff6600; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">特别提示：</span></b><span style="COLOR: #996600; FONT-FAMILY: 仿宋_GB2312; mso-hansi-font-family: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-bidi-font-size: 10.5pt;"><font face="">耳鸣可作为早期心脏病的重要标志。<span lang="EN-US">
<p></p></span></font></span></p><table class="MsoNormalTable" cellspacing="0" cellpadding="0" align="left" border="0" style="mso-cellspacing: 0cm; mso-table-lspace: 2.25pt; mso-table-rspace: 2.25pt; mso-table-anchor-vertical: paragraph; mso-table-anchor-horizontal: column; mso-table-left: left; mso-padding-alt: 0cm 0cm 0cm 0cm;"><tbody><tr style="mso-yfti-irow: 0; mso-yfti-firstrow: yes; mso-yfti-lastrow: yes;"><td style="BORDER-RIGHT: #ece9d8; PADDING-RIGHT: 0cm; BORDER-TOP: #ece9d8; PADDING-LEFT: 0cm; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; PADDING-TOP: 0cm; BORDER-BOTTOM: #ece9d8; BACKGROUND-COLOR: transparent;"><p class="MsoNormal" align="center" style="MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: center; mso-pagination: widow-orphan; mso-element: frame; mso-element-frame-hspace: 2.25pt; mso-element-wrap: around; mso-element-anchor-vertical: paragraph; mso-element-anchor-horizontal: column; mso-height-rule: exactly;"><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;"><p> </p></span></p></td></tr></tbody></table><p class="MsoNormal" align="left" style="BACKGROUND: #f6fbf3; MARGIN: 0cm 0cm 21pt; LINE-HEIGHT: 21pt; TEXT-ALIGN: left; mso-pagination: widow-orphan;"><font face=""><span style="COLOR: #996600; FONT-FAMILY: 仿宋_GB2312; mso-hansi-font-family: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-bidi-font-size: 10.5pt;">因此，一个原来没有耳鸣症状的中老年人，在近期内突发耳鸣，应及时检查血脂、血压及心电图，以明确是否患有隐性心脏病。有些人长期耳鸣，但如果近期耳鸣加重，也应该检查心脏。</span></font></p><p class="MsoNormal" align="left" style="BACKGROUND: #f6fbf3; MARGIN: 0cm 0cm 21pt; LINE-HEIGHT: 21pt; TEXT-ALIGN: left; mso-pagination: widow-orphan;"><font face=""><span style="COLOR: #996600; FONT-FAMILY: 仿宋_GB2312; mso-hansi-font-family: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-bidi-font-size: 10.5pt;"></span></font><span lang="EN-US" style="COLOR: #ff3300; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-bidi-font-size: 10.5pt;">◆</span><span lang="EN-US" style="COLOR: black; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-bidi-font-size: 10.5pt;">
</span><b><span style="COLOR: black; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">身体虚弱</span></b><span style="COLOR: black; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-bidi-font-size: 10.5pt;">这种耳鸣多没有器质性病变，常由于血管张力不足、局部供血差引起。中医认为，它是肾虚的表现。</span></p><p class="MsoNormal" align="left" style="BACKGROUND: #f6fbf3; MARGIN: 0cm 0cm 21pt; LINE-HEIGHT: 21pt; TEXT-ALIGN: left; mso-pagination: widow-orphan;"><span style="COLOR: black; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-bidi-font-size: 10.5pt;"></span><span lang="EN-US" style="COLOR: #ff3300; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-bidi-font-size: 10.5pt;">◆</span><span lang="EN-US" style="COLOR: black; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-bidi-font-size: 10.5pt;">
</span><b><span style="COLOR: black; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">神经衰弱</span></b><span style="COLOR: black; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-bidi-font-size: 10.5pt;">这种耳鸣音调高低不定，多为双侧性，常伴有头痛、头昏、失眠、多梦等症状。这种耳鸣还与忧郁有关，调节情绪可使之好转。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" align="left" style="BACKGROUND: #f6fbf3; MARGIN: 0cm 0cm 21pt; LINE-HEIGHT: 21pt; TEXT-ALIGN: left; mso-pagination: widow-orphan;"><span lang="EN-US" style="COLOR: #ff3300; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-bidi-font-size: 10.5pt;">◆</span><span lang="EN-US" style="COLOR: black; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-bidi-font-size: 10.5pt;">
</span><b><span style="COLOR: black; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">耳部疾患</span></b><span style="COLOR: black; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-bidi-font-size: 10.5pt;">患者多有耳病史，耳鸣在夜间有加重趋势。根据病变部位不同，分为传导性耳鸣和感音性耳鸣。当外耳有耵聍、异物、炎症肿胀发生阻塞，耳膜充血、内陷、穿孔，中耳积液或感染、耳硬化症时，均可发生传导性耳鸣。这种耳鸣常发生于病变的一侧，且音调较低，如<span lang="EN-US">“</span>隆隆声<span lang="EN-US">”</span>、<span lang="EN-US">“</span>轰轰声<span lang="EN-US">”</span>、<span lang="EN-US">“</span>嗡嗡声<span lang="EN-US">”</span>。耳的感音部位是内耳耳蜗，如发生内耳震荡、水肿、听神经瘤等，会刺激内耳耳蜗产生耳鸣。这种耳鸣多为双侧性，鸣音较高，如蝉鸣或嘶嘶声，耳鸣常呈间歇性。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" align="left" style="BACKGROUND: #f6fbf3; MARGIN: 0cm 0cm 21pt; LINE-HEIGHT: 21pt; TEXT-ALIGN: left; mso-pagination: widow-orphan;"><span lang="EN-US" style="COLOR: #ff3300; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-bidi-font-size: 10.5pt;">◆</span><span lang="EN-US" style="COLOR: black; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-bidi-font-size: 10.5pt;">
</span><b><span style="COLOR: black; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">颈部疾患</span></b><span style="COLOR: black; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-bidi-font-size: 10.5pt;">颈部肿瘤或其他颈部疾病压迫颈动脉时，可引起受压侧耳鸣。耳鸣的特点为持续性、低音调，随体位变化，耳鸣的程度可有变化。</span></p><p class="MsoNormal" align="left" style="BACKGROUND: #f6fbf3; MARGIN: 0cm 0cm 21pt; LINE-HEIGHT: 21pt; TEXT-ALIGN: left; mso-pagination: widow-orphan;"><span style="COLOR: black; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-bidi-font-size: 10.5pt;"></span><span lang="EN-US" style="COLOR: #ff3300; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-bidi-font-size: 10.5pt;">◆</span><span lang="EN-US" style="COLOR: black; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-bidi-font-size: 10.5pt;">
</span><b><span style="COLOR: black; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">药物中毒 </span></b><span style="COLOR: black; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-bidi-font-size: 10.5pt;">损伤内耳神经大剂量奎宁、奎尼丁、氯喹等药物，可引起剧烈耳鸣，但停药后会好转，多不影响听力。庆大霉素、链霉素、卡那霉素等药物，对听神经及前庭神经均有损害，可出现耳鸣，若不及时停药，可迅速发展成耳聋，并难以恢复。药物过敏或中毒造成的耳鸣，往往是高音调，且呈双侧性。</span><span style="COLOR: black; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt; mso-bidi-font-size: 10.5pt;">此外，更年期综合征也可引起耳鸣，尤其是睡眠不好的人更严重。但也有少数耳鸣患者病因不明，需定期观察、检查。特别是单侧呈高音调耳鸣的患者，更应定期去正规医院神经科、五官科检查，以便得到准确及时的诊断和治疗。<span lang="EN-US"><p></p></span></span></p> <p>挺专业 </p>
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