耳闷的分类、原因与机制  

Classification,Causes and Mechanisms of Ear Fullness

作　　者：周恩[1] 张锟艺 伍若冰 刘斌[1] 肖旭平[1] ZHOU En;ZHANG Kunyi;WU Ruobin;LIU Bin;XIAO Xuping(Department of Otolaryngology Head and Neck Surgery,Hunan Provincial People's Hospita,Changsha 410000,China)

机构地区：[1]湖南省人民医院(湖南师范大学附属第一医院)耳鼻咽喉头颈外科,长沙410000 [2]耒阳市人民医院(湖南省人民医院集团医院)

出　　处：《中华耳科学杂志》2024年第5期851-855,共5页Chinese Journal of Otology

基　　金：湖南省卫健委一般项目(202207023569);湖南省人民医院医联体专项科研基金项目资助(2023YLT007)。

摘　　要：耳闷胀感是患者耳部的一个异常感觉症状,临床上表现为耳堵塞感、压迫感、胀满感等。由于针对其病理生理学研究很少,耳闷容易被泛化诊断为咽鼓管功能紊乱、中耳炎或膜迷路积水等,导致误诊误治。根据是否存在耳部异常压力将其分为压力性耳闷与非压力性耳闷,分别阐述病因及机制。希望能为临床医生更好的认识耳闷提供帮助。The feeling of ear fullness(FEF)is an abnormal sensation in the ear,clinically manifested as a fe eling of ear blockage,compression,fullness,etc.Due to the limited pathophysiological research on this symptom,e ar fullness can easily be misdiagnosed as Eustachian tube dysfunction,otitis media or labyrinthine hydrops.We divi ded it into pressure and non-pressure ear fullness based on whether there is abnormal pressure sensation in the ear,and e xplained their etiology and mechanisms separately.We hope to help clinicians better understand ear fullnesss,and thus r educe the occurrence of misdiagnosis and improve its treatment.

关 键 词：耳闷胀感 病理生理 压力 分类 

分 类 号：R764[医药卫生—耳鼻咽喉科]