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<p style="text-indent: 2em;" data-track="1" data-pm-slice="1 1 []"><span style="letter-spacing: 1px;"><span style="color: #434343; --tt-darkmode-color: #A3A3A3;">被耳鸣困扰10多年的温州永嘉公务员å£å¥³å£«å’Œæ¸©å·žé¹¿åŸŽå¼ 女士，在国内多家大医院æ²È–—æ— æ•ˆåQŒå¥¹ä»¬è·¨‘Šå¤§åŠä¸ªä¸å›½æ…•å扑ֈ°çŽ‹æ¦åº†æ•™æŽˆã€‚æ—¥å‰ï¼Œä¸¤ä½æ‚£è€…在王æ¦åº†æ•™æŽˆå’Œç‘žå®‰å¸‚äh民医院耳科团队安排下æˆåŠŸå®žæ–½äº†ä¾§é¢…åº•åˆ‡å¼€åŠ ä¹™çŠ¶çª¦¾~©çª„术，ž®?/span><strong><span style="color: #434343; --tt-darkmode-color: #A3A3A3;">困扰10多年的血½Ž¡æ动性耳鸣¾lˆäºŽè¢«æ‰‹æœ¯æ²»æ„?/span></strong><span style="color: #434343; --tt-darkmode-color: #A3A3A3;">ã€?/span></span></p><p data-track="2"><br/></p><p style="text-align: left;" data-track="4"><span style="letter-spacing: 1px;"><strong><span style="color: #954930; --tt-darkmode-color: #954930;">1ã€ä»€ä¹ˆæ˜¯æ动性耳鸣åQ?/span></strong></span></p><p style="text-indent: 2em;" data-track="5"><span style="letter-spacing: 1px;">耳鸣是生‹zÖM¸å¸¸è§çš„ç—‡çŠÓž¼Œå…¨ä¸–ç•?0åQ…～30åQ…çš„æˆäh都曾有过耳鸣的ç»åŽ†ã€‚我国耳鸣的å‘生率¾U¦äØ“17åQ…，¾U¦å 耳éËE喉科门诊é‡çš„10åQ…～20åQ…，而æ动性耳鸣则是耳鸣ä¸è¾ƒä¸ºç½•è§çš„一¿U类型，åªå 全部耳鸣çš?åQ…å·¦å»I¼Œä½†æˆ‘们ähå£åŸºæ•°å¤§åQŒå…¨å›½çš„æ动性耳鸣患者ä»æœ‰çº¦1000万之多，òq¶ä¸”é€å¹´å¢žåŠ ‘‹åŠ¿ã€?/span></p><p style="text-indent: 2em;" data-track="5"><span style="letter-spacing: 1px;"><br/></span></p><p style="text-align: center;"><br/></p><p style="text-align: left;" data-track="8"><span style="letter-spacing: 1px;"><strong><span style="color: #954930; --tt-darkmode-color: #954930;">02 æ动性耳鸣的主è¦äÍ床表çŽ?/span></strong></span></p><p style="text-indent: 2em;" data-track="10"><span style="letter-spacing: 1px;">æ动性耳鸣的患者通常是这æ äh˜qîC»–们所å¬åˆ°çš„声音的—â€?/span></p><p style="text-indent: 2em;" data-track="11"><span style="letter-spacing: 1px;">åƒå¿ƒè„或血½Ž¡è„‰æèŸ©åŠ¨æ ·çš„è€³é¸£å£ŽÍ¼Œå…·ä½“说æ¥æœ‰ç‚¹åƒæ‡L涛声ã€æ°´æ³µå£°ã€å“—哗声½{‰ç‰â€¦â€?/span></p><p style="text-indent: 2em;" data-track="12"><span style="letter-spacing: 1px;">跟其他耳鸣最大的区别ž®±æ˜¯è€³é¸£çš„声韌™Š‚律与患者的心蟩ã€è„‰æåŒæ¥ã€?/span></p><p style="text-indent: 2em;" data-track="13"><span style="letter-spacing: 1px;">跟其他类型的耳鸣一æ øP¼Œæ动性耳鸣最大的å±å®³åœ¨äºŽé•¿æ—¶é—´è€³é¸£ä¼šä¸¥é‡åª„å“生‹z…R€å·¥ä½œã€ç¡çœ ，甚至引è“v抑éƒã€ç„¦è™‘牾_„¡¥žå¼‚常ã€?/span></p><p data-track="15"><br/></p><p style="text-align: left;" data-track="16"><span style="letter-spacing: 1px;"><strong><span style="color: #954930; --tt-darkmode-color: #954930;">03 å“ªäº›åŽŸå› å¯èƒ½å¼•è“væ动性耳鸣åQ?/span></strong></span></p><p style="text-indent: 2em;" data-track="17"><span style="letter-spacing: 1px;">ç›®å‰åŒÕd¦ä¸Šå¯¹æ动性耳鸣的确切å‘ç—…æœºåˆ¶å°šæ— å®šè®ºï¼Œå¯¹ç—…ç†ç”Ÿç†è¿‡½E‹æ²¡æœ‰æ¸…晰深入的认知。但ž®Þq›®å‰çš„ç ”ç©¶çŽ°çŠ¶æ¥çœ‹åQŒèƒ½å¼•è“væåŠ¨æ€§è€³é¸£çš„å› ç´ æœ‰å‡ å¿U，其ä¸è¡€½Ž¡æºæ€§å› ç´ æœ€ä¸ºå¸¸è§ã€?/span></p><p style="text-indent: 2em;" data-track="18"><span style="letter-spacing: 1px;">˜q™æ˜¯å› äØ“è€Ïxœµç´§é‚»ä¸€äº›å¤´éƒ¨å¤§è¡€½Ž¡ï¼Œå¦‚果血½Ž¡é‡Œé¢çš„è¡€‹¹åµåµé—¹é—¹å¥”腾而过åQŒè€Ïxœµž®±æœ‰å¯èƒ½å¬å¾—刎ͼŒž®¤å…¶ä¸€æ—¦å…³æ³¨åˆ°˜q™ç§å£°éŸ³òq¶è®¤ä¸ºæ˜¯â€œå™ªéŸ³â€åŽåQŒä½ ž®×ƒ¼š‘Šæ¥‘Šæ³¨æ„到它的å˜åœ¨åQŒç”šè‡³äØ“æ¤è€Œçƒ¦æ¹{€?/span></p><p data-track="19"><br/></p><p data-track="21"><span style="letter-spacing: 1px;"><strong><span style="color: #954930; --tt-darkmode-color: #954930;">04 下é¢æ¥çœ‹ä¸€ä¸‹å“ªäº›è¡€½Ž¡æ动æ€?/span></strong></span></p><p data-track="22"><span style="letter-spacing: 1px;"><strong><span style="color: #954930; --tt-darkmode-color: #954930;">è€³é¸£åŽŸå› åQ?/span></strong></span></p><p data-track="23"><span style="letter-spacing: 1px;"><strong>1. 动脉æºæ€§å› ç´?/strong></span></p><p style="text-indent: 2em;"><span style="letter-spacing: 1px;">最常è§çš„是脑动é™è„‰ç•¸åÅžã€é¢…底硬脑膜动é™è„‰ç˜˜ã€å¤–伤性颈内动脉æ“v¾l늪¦ç˜˜ã€‚è¿™¿UåŽŸå› äÍ床上ä¸å¸¸è§ã€?/span></p><p data-track="25"><span style="letter-spacing: 1px;"><strong>2. é™è„‰æºæ€§å› ç´?/strong></span></p><p style="text-align: center;"><img src="/rayyuploads/20221125/202211251019451477.jpg" title=""/></p><p style="text-indent: 2em;" data-track="26"><span style="letter-spacing: 1px;">大部分都是由于脑é™è„‰½H¦çš„解剖å˜å¼‚所è‡ß_¼Œå¦‚较大的乙状½H¦æ†©å®¤ã€ä¹™çŠ¶çª¦æ‰©å¼ å‰ç½®ã€é«˜ä½é¢ˆé™è„‰çƒã€ä¹™çŠ¶çª¦å‰å£éª¨è´¨¾~ºå¤±ã€äã^½H导é™è„‰å¼‚常åŠæ¨ª½H¦ä¸Žä¹™çŠ¶½H¦äº¤ç•ŒåŒºç‹çª„½{‰ã€‚è¡€½Ž¡æ动性耳鸣常常ç”Þp¿™¿UåŽŸå› æ‰€å¼•è“vã€?/span></p><p style="text-align: center;"><img src="/rayyuploads/20221125/202211251019560386.gif" title=""/></p><p data-track="27"><span style="letter-spacing: 1px;"><strong>3. è‚¿ç˜¤æ€§å› ç´?/strong></span></p><p style="text-indent: 2em;" data-track="28"><span style="letter-spacing: 1px;">鼓室体瘤和颈é™è„‰çƒç˜¤åQŒè¿™äº›è‚¿ç˜¤å› ä¸ø™¡€ä¾›å¼‚å¸æ€¸°å¯Œè€Œäñ”生了局部的血‹¹ç´Šä¹±ï¼Œä¹Ÿå¯ä»¥ç†è§£äØ“è¡€½Ž¡æºæ€§å› ç´ ã€‚äÍ床上常常会碰到由于颈é™è„‰çƒé«˜ä½å¼•èµïLš„è¡€½Ž¡æ动性耳鸣ã€?/span></p><p data-track="29"><br/></p><p data-track="30"><br/></p><p style="text-align: center;" data-track="31"><span style="letter-spacing: 1px;"><strong><span style="color: #954930; --tt-darkmode-color: #954930;">05 å‘现血½Ž¡æ动性耳鸣应该咋办åQ?/span></strong></span></p><p style="text-indent: 2em;" data-track="32"><span style="letter-spacing: 1px;">大部分的æ动性耳鸣背åŽéƒ½æœ‰ç‰¹å®šçš„ã€æœ‰˜q¹å¯å¾ªçš„原å‘ç—…ç†æ”¹å˜åQŒåªè¦æ‰¾å‡†ç—…å› åƈ予以æ£ç¡®çš„å¯¹å› æ²»ç–—ï¼Œå¤šæ•°æ‚£è€…é¢„åŽéƒ½æ˜¯å¾ˆä¸é”™çš„。所以，一旦å‘现自己å¬åˆ°è¿™äº›è·Ÿè„‰æã€å¿ƒè„åŒæ¥çš„声音åQŒè¦˜q™æ ·åšæ‰å¯¹â€”â€?/span></p><p data-track="33"><span style="letter-spacing: 1px;"><strong>1ã€å°½æ—©å‰å¾€æ£è§„医院ž®±åŒ»åQ?/strong></span></p><p data-track="34"><span style="letter-spacing: 1px;"><strong>2ã€åŒ»ç”Ÿä¼š½Ž€å?typo id="typo-1102" data-origin="çš? ignoretag="true">çš?/typo>问病å²æŸ¥ä½?/strong>åQŒæ¯”如拿å¬è¯Šå™¨åŽ‹åœ¨ä½ 的耳é“åŠå‘¨å›´å¬ä¸€å¬æœ‰æ²¡æœ‰è¡€½Ž¡æ‚韻I¼Œ˜q˜ä¼šåŽ‹ä¸€åŽ‹é¢ˆéƒ¨å¤§è¡€½Ž¡ï¼Œæˆ–è€…å¸®ä½ è{转头åQŒçœ‹è€³é¸£æ˜¯å¦å‘生å˜åŒ–åQŒè¿™äº›æ–¹æ³•å¯ä»¥åˆæ¥åˆ¤æ–ä½ çš„æ动性耳鸣是å¦ä¸ø™¡€½Ž¡æºæ€§ï¼Œæ˜¯é™è„‰æºæ€§è¿˜æ˜¯åŠ¨è„‰æºæ€§ã€?/span></p><p data-track="35"><span style="letter-spacing: 1px;"><strong>3ã€æ£€æŸ¥ï¼š</strong></span></p><p style="text-indent: 2em;" data-track="36"><span style="letter-spacing: 1px;">ä¸ÞZº†æ˜Žç¡®è¯Šæ–˜q˜éœ€è¦åš˜q›ä¸€æ¥çš„‹‚€æŸ¥ï¼Œæ¯”如颈动脉彩‘…ã€ç£å…±æŒ¯è¡€½Ž¡æˆåƒï¼ˆMRA/MRVåQ‰ã€CTè¡€½Ž¡æˆåƒï¼ˆCTA/CTVåQ‰ã€æ•°å—å‡å½Þp¡€½Ž¡é€ 媄åQˆDSAåQ‰ç‰‹‚€æŸ¥æ‰‹ŒDµï¼Œå¯ä»¥é’ˆå¯¹æ€§åœ°åº”用åˆîC¸åŒä¸ªä½“，全é¢åœ°æ‰«æ头颈部血½Ž¡æƒ…况åƈ排除肿瘤½{‰å…¶ä»–疾患，准确地æªå‡ºç—…å› ã€?/span></p><p data-track="37"><br/></p><p data-track="38"><br/></p><p style="text-align: left;" data-track="39"><span style="letter-spacing: 1px;"><strong><span style="color: #954930; --tt-darkmode-color: #954930;">06 æ动性耳鸣的治ç–?/span></strong></span></p><p style="text-indent: 2em;" data-track="40"><span style="letter-spacing: 1px;">æ动性耳鸣的治疗å¯ä»¥åˆ†ä¸ÞZ¿å®ˆæ²»ç–—和手术æ²È–—ã€?/span></p><p style="text-indent: 2em;" data-track="41"><span style="letter-spacing: 1px;"><strong>1. ä¿å®ˆæ²È–—åQ?/strong>对于病情较轻的患者，å¯ä»¥é‡‡ç”¨è¡Œäؓ认知疗法或者声掩蔽ã€å£°ä¹ 朽{‰å£°æ²È–—çš„æ–¹å¼è¿›è¡Œæ²»ç–—ã€?/span></p><p style="text-indent: 2em;" data-track="42"><span style="letter-spacing: 1px;"><strong>2. 手术æ²È–—åQ?/strong>对于病情较顽固的患者，å¯ä»¥é‡‡å–手术æ²È–—çš„æ–¹å¼ç§¯æžçº æ£è§£å‰–结构的畸åÅžåQŒå¤§å¤šæ•°æ‚£è€…å¯å–得良好疗效ã€?/span></p><p style="text-indent: 2em;" data-track="43"><span style="letter-spacing: 1px;"><strong>手术方å¼åŒ…括åQ?/strong>常è§æ‰‹æœ¯æ–ÒŽ³•æœ‰ä¾§é¢…åº•åˆ‡å¼€åŠ ä¹™çŠ¶çª¦¾~©çª„术ã€é«˜ä½é¢ˆé™è„‰çƒæˆå½¢æœ¯½{‰ã€?/span></p><p data-track="44"><br/></p><p style="text-align: center;"><img src="/rayyuploads/20221125/202211251020091640.gif" title=""/></p><p style="text-align: right;" data-track="45"><br/></p><p data-track="47"><br/></p><p style="text-align: left;" data-track="48"><span style="letter-spacing: 1.5px;"><strong>作者简ä»?/strong></span></p><p style="text-align: center;"><img src="/rayyuploads/20221125/202211251020179767.jpg" title=""/></p><p style="text-align: center;" data-track="49"><span style="letter-spacing: 1px;"><strong>æž?‹‚?/strong></span></p><p style="text-indent: 2em;" data-track="50"><span style="letter-spacing: 1px;">瑞安市äh民医院耳éËE咽喉¿U‘å¦æœ¯å¸¦å¤´ähåQŒç§‘副主ä»?/span></p><p style="text-indent: 2em;" data-track="51"><span style="letter-spacing: 1px;">ä¸ÖM“QåŒÕd¸ˆ</span></p><p style="text-indent: 2em;" data-track="52"><span style="letter-spacing: 1px;">温州åŒÈ§‘大妼‹•å£«ç ”究生导å¸?/span></p><p style="text-indent: 2em;" data-track="53"><span style="letter-spacing: 1px;">温州市第å…è½®åŒÕd¦é‡ç‚¹å¦ç§‘带头äº?/span></p><p data-track="54"><span style="letter-spacing: 1px;"><strong>å¦æœ¯ä»»èŒåQ?/strong></span></p><p style="text-indent: 2em;" data-track="55"><span style="letter-spacing: 1px;">‹¹™æ±ŸçœåŒ»å¸ˆå会耳éËE咽喉¿U‘分会委å‘?/span></p><p style="text-indent: 2em;" data-track="56"><span style="letter-spacing: 1px;">温州市医å¦ä¼šè€³éËE咽喉¿U‘分会委å‘?/span></p><p style="text-indent: 2em;" data-track="57"><span style="letter-spacing: 1px;">以第一作者或通讯作者å‘表SCIå’Œä¸åŽè€³éËE咽喉头颈外科æ‚å¿—½{‰è®ºè‘?0多篇åQŒå…¶ä¸SCI收录论文10多篇åQ›å‘明专åˆ?™åV€?/span></p><p data-track="58"><span style="letter-spacing: 1px;"><strong>业务专长åQ?/strong></span></p><p style="text-indent: 2em;" data-track="59"><span style="letter-spacing: 1px;">æ“…é•¿è€Ïx˜¾å¾®å¤–¿U‘手术，人工å¬éª¨æ¤å…¥åQŒçœ©æ™•è€³é¸£åQ›éËE内镜微创以åŠå’½å–‰½{‰ç¦»å微创手术ç‰åQŒæ¯òq´å®Œæˆæ‰‹æœ¯ä¾‹æ•?00例以上ã€?/span></p><p data-track="60"><span style="letter-spacing: 1px;"><strong>è”系方å¼åQ?/strong>林医ç”?3515871723åQˆå¾®ä¿¡åŒåøP¼‰</span></p><p><br/></p><p><br/></p>
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