otolaryngology是什么意思,otolaryngology中文翻譯,otolaryngology發(fā)音、用法及例句
?otolaryngology
otolaryngology發(fā)音
英:[??ut?u?l?r???ɡ?l?d??] 美:[?oto?l?r???ɡɑl?d??]
英: 美:
otolaryngology中文意思翻譯
n. 耳鼻喉學(xué)
otolaryngology詞形變化
名詞: otolaryngologist | 形容詞: otolaryngological |
otolaryngology常見例句
1 、nuclear otolaryngology───耳(鼻)喉科核醫(yī)學(xué)
2 、After the above processing, the majority child nosebleeds can stop, if is ineffective, neighbor should go to the hospital otolaryngology seeing a doctor immediately.───經(jīng)過以上處理,大多數(shù)兒童鼻出血都能止住,若不見效,應(yīng)立即去附近醫(yī)院耳鼻喉科就診。
3 、LIN ZhenhuaDepartment of Otolaryngology; Yanbu Hospital of Nanhai District of Foshan City; Foshan; Guangdong 528247;───佛山市南海區(qū)鹽步醫(yī)院耳鼻咽喉科廣東佛山;
4 、Objective:To explore the applications of radial forearm flap(RFF) in malignant tumor operations in otolaryngology head neck surgery.───目的:探討前臂皮瓣在耳鼻咽喉頭頸外科頭頸部惡性腫瘤手術(shù)中的應(yīng)用。
5 、How to measure the function of Eustachian tube more effectively is the problem to be solved in otolaryngology.───如何更有效地進(jìn)行咽鼓管功能檢測,一直是耳鼻喉科領(lǐng)域有待解決的問題。
6 、Author CAI Changping;CHEN Xueming;PAN Sifen(Dept of Otolaryngology;Ruijin Hospital;Shanghai Second Medical University;Shanghai 200025);───作者蔡昌枰;陳學(xué)明;潘巳奮;
7 、Otolaryngology Head and Neck Surgery engaged in the work of more than 20 years of dealing with ENT diseases has a wealth of experience.───從事耳鼻咽喉頭頸外科工作20余年,對處理耳鼻咽喉科疑難雜癥有豐富的經(jīng)驗。
8 、According to Dr.Steven D.Rauch, a professor of otolaryngology at Harvard, there are four major areas for concern: ear hygiene, noise injuries, age-related hearing loss and ear health emergencies.───據(jù)斯蒂芬D.勞奇所言,哈佛大學(xué)耳鼻喉科教授,有4個方面值得關(guān)注:耳部清潔,噪聲傷害,年老失聰,急癥耳病。
9 、WANG Zui Qing Peng Bo Department of Otolaryngology; The Second Affiliated Hospital of Guangdong Medical College; Zhanjiang 524003 China;───廣東醫(yī)學(xué)院第二附屬醫(yī)院耳鼻咽喉科;廣東湛江;
10 、manifestation of connective tissue disease in otolaryngology───結(jié)締組織病的耳鼻咽喉表現(xiàn)
11 、Author Chen Xianghui;Zhao Suping;Feng Rong;et al. Department of Otolaryngology;Xiangya Hospital;Central South University;Changsha 410008;───作者陳湘暉;趙素萍;馮永;肖健云;邱元正;王行煒;梅凌云;
12 、Author WU Wei;HAN Hao-lun;WANG Pei-lin;et al.Department of Otolaryngology;306 Hospital of PLA;Beijing 100101;China;───作者吳瑋;韓浩倫;王佩林;王鴻南;李保衛(wèi);王剛;吳代民;丁瑞英;孫建芝;
13 、ZHANG Liqiang; LUAN Xinyong; PAN Xinliang; XIE Guang; XU Fenglei; LIU Dayu; LEI Dapeng (Department of Otolaryngology; Qilu Hospital of Shandong University; Jinan 250012; China);───山東大學(xué)齊魯醫(yī)院耳鼻咽喉科;山東大學(xué)齊魯醫(yī)院耳鼻咽喉科山東濟南;山東濟南;
14 、A preliminary exploration into multimedia-aided teaching design of otolaryngology in traditional Chinese medicine───中醫(yī)耳鼻咽喉科學(xué)多媒體組合教學(xué)設(shè)計初探
15 、LI Binghua; SU Lizhong; XU YapingDept.of Otolaryngology; Zhejiang Provincial People's Hospital; Hangzhou(310014);───浙江省人民醫(yī)院耳鼻咽喉科;浙江大學(xué)醫(yī)學(xué)院附屬第二醫(yī)院耳鼻咽喉科;310014;
16 、The purpose of this study is to present the experiences of open rhinoplasties in Department of Otolaryngology, Tri-Service General Hospital.───本研究主要報告三軍總醫(yī)院耳鼻喉科實施開放式鼻成形術(shù)的經(jīng)驗。
17 、DENG Hai-yan; SONG Wen-guang; CAO Lei; ZHANG Shi-ping; LIAO Tao.Department of Otolaryngology; Guangzhou Red Cross Hospital; Guangzhou 510220; China;───廣州市紅十字會醫(yī)院(暨南大學(xué)附屬第四醫(yī)院)耳鼻喉科;
18 、Author Lin Jianyun;Chen Quandong;Guo Yali;et al.(Dept.of Otolaryngology;Kunming Children s Hospital;Kunming;650034;China);───作者林建云;陳泉東;郭亞麗;劉睿清;
19 、otolaryngology combined TCM with western medicine───中西醫(yī)結(jié)合耳鼻咽喉科
20 、Author LIANG Ying;WANG Liyi;YANG Yi;ZHANG Lei;CHEN Hong;GONG Xia;LIU Fang;HUANG Weining(Department of Otolaryngology;Beijing Hospital;Beijing;100730;China);───作者梁鶯;王利一;楊弋;張雷;陳宏;龔霞;劉芳;黃魏寧;
21 、Conclu sion: This method can be easily operated with the advantages of less pain and desirable effect, thus worth being popularized in clinical otolaryngology.───結(jié)論:此方法操作簡便,療 效好,病人痛苦小,值得臨床**。
22 、Author Wei Chunsheng Wang Wei Chen Xiaoling (Department of Otolaryngology;EENT Hospital;Fudan University;Shanghai 200031);───作者魏春生;王薇;陳小玲;
23 、American Board of Otolaryngology───美國耳鼻喉科學(xué)委員會
24 、Keywords Otolaryngology;Medical history taking;Computer;───關(guān)鍵詞耳鼻咽喉科學(xué);病史記錄;計算機;
25 、XU Xiaoqun; YU Yipeng; WANG Jing; LIN Zhihong Dept.of Otolaryngology; the First People's Hospital of Wuyi; Zhejiang; 321200; China;───浙江省武義縣第一人民醫(yī)院耳鼻咽喉科;浙江省第一人民醫(yī)院**科;浙江大學(xué)醫(yī)學(xué)院附屬第二醫(yī)院耳鼻咽喉科;321200;
26 、Investigation and analysis on the patients'knowledge of law related to medical treatment in the outpatient department of otolaryngology and head surgery───對耳鼻咽喉科門診患者醫(yī)療法律知識認(rèn)知情況的調(diào)查與分析
27 、Methods: Charts were reviewed to find MRSA rhinosinusitis patients who were diagnosed in the Outpatient Clinic of the Department of Otolaryngology, Taichung Veterans General Hospital.───方法:我們從病歷表中尋找出在本科門診中被診斷為抗二甲氧基苯青黴素金**葡萄球菌鼻腔鼻竇炎的病患。
28 、Keywords Rhinolarynx Electronic Videoendoscope;Clinical Application;Otolaryngology Diseases;───電子鼻咽-喉鏡;臨床應(yīng)用;耳鼻咽喉疾病;
29 、Jiang; Hongqun; Department of Otolaryngology; First Affiliated Hospital; Jiangxi Medical; College; Nanchang 330006Wen Sanli;───南昌江西醫(yī)學(xué)院附屬第一醫(yī)院耳鼻咽喉科;
30 、Now, doctors have the first treatment guilderlise guidelines from the American Academy of Otolaryngology - Head and Neck Surgery FoundationRichard Rosenfeld.───現(xiàn)在醫(yī)生從美國醫(yī)療學(xué)院-腦頸基礎(chǔ)治療科有了第一例治療病例。
31 、A study on the method of "note-taking and discussing" for otolaryngology teaching───"筆記與討論"教學(xué)法在耳鼻咽喉科學(xué)見習(xí)教學(xué)中的應(yīng)用
32 、The Academy seres its members by facilitating the adancement of the science and art of medicine related to otolaryngology and by representing the specialty in goernmental and socioeconomic issues.───學(xué)會為他的成員服務(wù)。促進(jìn)科學(xué)進(jìn)步,提供和耳鼻咽喉有關(guān)的醫(yī)療技術(shù)并發(fā)行專門代表政府和社會經(jīng)濟的刊物。
33 、Develop Students'Creation Thinking During the Teaching Course of Otolaryngology───在耳鼻咽喉科學(xué)教學(xué)中培養(yǎng)學(xué)生創(chuàng)新性思維
34 、Otolaryngology Department, Tanta University, Tanta, Egypt.───北京大學(xué)人民醫(yī)院耳鼻咽喉科
35 、Author Wang Pengju;Liu lingwen;Zeng Ligang;et al.(Department of Otolaryngology;Center Hospital of Xiangfan;Xiangfan;441021;China);───作者王鵬舉;劉靈文;曾立剛;羅鴻;柯賽雄;
36 、Application of Olympus T?3 Rhinolaryngeal Fibroscope in Otolaryngology───pus T_3型纖維鼻咽喉鏡在耳鼻喉科的應(yīng)用
37 、China;2Department of Otolaryngology;First Affiliated Hospital;3Department of Health Statistics and Epidemiology;───中山大學(xué)公共衛(wèi)生學(xué)院醫(yī)學(xué)統(tǒng)計與流行病學(xué)系;
38 、HU Yushun; XUE Jianxiu Dept.of Otolaryngology; the First People's Hospital of Xiaoshan District; Hangzhou; Zhejiang; 311200; China;───浙江杭州市蕭山區(qū)第一人民醫(yī)院耳鼻咽喉科;
39 、Wang Xiao-lu; Wang Bao-hua Department of Otolaryngology; The Second Clinical College; China Medical University; Shenyang 110003;───中國醫(yī)科大學(xué)第二臨床醫(yī)院耳鼻咽喉科;
40 、Author LUORenzhong WEN Ruijin WANG Meifen ZHONG Jiamuen (Department of Otolaryngology;Guangzhou Children s Hospital;Guangzhou 510120);───作者羅仁忠;溫瑞金;王美芬;鐘建文;
41 、DoctorsNow, doctors have the first treatment guidlines guidelines from the American Academy of Otolaryngology - Head and Neck Surgery Foundation.───現(xiàn)在醫(yī)生從美國耳鼻喉研究院-首頸醫(yī)療中心得到首份治療失音的指導(dǎo)手冊。
42 、Now, doctors have the first treatment guidelines from the American Academy of Otolaryngology - Head and Neck Surgery Foundation.───現(xiàn)在,美國耳鼻喉學(xué)與頭頸外科學(xué)會的醫(yī)生們已經(jīng)制定出第一個治療方案。
43 、Author Chen Yuehua;Wang Heyuan;Hu Junlan;et al. ( Department of Otolaryngology;the First Hospital of Shijiazhuang;Shijiazhuang;050011;China);───作者陳月華;汪賀媛;胡俊蘭;張素芹;陳紅;
44 、SONG Xinmao XU Lingen YU Zhuyuan Department of Otolaryngology; Jinshan Hospital; Fudan University; Shanghai 200540;───復(fù)旦大學(xué)附屬金山醫(yī)院耳鼻喉科;
45 、The application of temperature-controlled bipolar radiofrequency ablation technique in otolaryngology───溫控雙極射頻等離子消融技術(shù)在耳鼻咽喉科的應(yīng)用
46 、Hunan Provincial Quality Control Center for Endoscopic Surgery in Otolaryngology───湖南省耳鼻喉科腔鏡治療質(zhì)量控制中心
47 、He has taken part in the work of Otolaryngology for 37 years and has accumulated abundance work experience of clinic medical treatments.───參加臨床醫(yī)療工作37年。從事耳鼻咽喉頭頸外科工作,積累了豐富的臨床醫(yī)療工作經(jīng)驗。
48 、Author Zhang Bingfeng Xu Xuehai Wang Tingchu (The State Otolaryngology Institute of P.R.China);───作者張丙峰;徐學(xué)海;王廷礎(chǔ);
49 、Indian Journal of Otolaryngology and Head and Neck Surgery───印度耳鼻喉科學(xué)及頭、頸外科學(xué)雜志
50 、University Department of Otolaryngology, Head and Neck Surgery, Southmead Hospital, Bristol, UK.───華西醫(yī)科大學(xué)附屬第四醫(yī)院耳鼻咽喉科
51 、Author Fu Ming;et al Department of Otolaryngology;People s Hospital of Dongguan;───作者傅明;管志偉;黃國彬;何錦添;
52 、PARTICIPANTS:Totally 8 children visited Ophthalmic Department of Affiliated Op hthalmology and Otolaryngology Hospital of Fudan University due to slight myopia between December 1999 and December 2000 were involved.───對象:1999-12/2000-12收集復(fù)旦大學(xué)附屬眼耳鼻喉科醫(yī)院眼科門診8名輕度近視兒童,男6例,女2例;
53 、'" said Heller, PhD, associate professor of otolaryngology, whose accent still bears the trace of his natie Germany.───’”耳鼻喉副教授,海勒博士說,其口音仍帶有一絲德國味。"
54 、Peter Roland, chairman of otolaryngology at UT Southwestern and one of the study's authors.───此項結(jié)果在可在兒科雜志網(wǎng)絡(luò)版上找到。
55 、Author WANG Shili CHEN Xueming YE Yanfen PAN Sifen (Department of Otolaryngology;Ruijin Hospital;Shanghai Second Medical University;Shanghai 200025);───作者王士禮;陳學(xué)明;葉燕芬;潘巳奮;
56 、Objective:To analyze the reasons of null specialty treatment to some patients who were hospitalized in the department of otolaryngology in our hospital.───目的:探討于耳鼻咽喉科門診長期就診的部分患者,經(jīng)??浦委熜Ч患训脑颉?/p>
57 、The course of audiology is both important and difficult to the undergraduate education of otolaryngology.───聽力學(xué)是耳鼻咽喉科教學(xué)中的重要環(huán)節(jié)和教學(xué)難點。
58 、American Academy of Ophthalmology and Otolaryngology───美國眼科與耳鼻喉科學(xué)會
59 、Author Li Qingzhong;Wang Qiuju;Han Dongyi et al. Institute of Otolaryngology;General Hospital of PLA;Beijing 100853;China;───作者李慶忠;王秋菊;韓東一;趙立東;劉穹;李麗娜;楊偉炎;
60 、Bayi Hospital Otolaryngology Center for sleep-disordered breathing are now carried out all of the above-mentioned treatment.───八一醫(yī)院耳鼻咽喉科睡眠呼吸障礙中心目前已經(jīng)開展上述所有的治療手段。
61 、Author GONG Wei-xi;CHEN Wei;WANG En-tong;et al(Department of Otolaryngology;General Hospital of Air Force;Bejing 100036;China);───作者龔維熙;陳偉;王恩彤;張寶林;張繼東;譚祖林;
62 、A clinical study on durogesic used for operative and postoperative pain of patients of the department of otolaryngology───多瑞吉用于局麻下耳鼻咽喉術(shù)中術(shù)后鎮(zhèn)痛的臨床研究
63 、LiuYang; Sun Jianjun; Lin yongsheng; Li Houen Dept. of Otolaryngology; Navy General Hospital; Beijing 100037;───海軍總醫(yī)院全軍耳鼻喉科中心;
64 、[1]Liu MB,Dong SH,Tang PZ.Diagnosis and treatment of cervical metastatic carcinoma of unknown primary site[J].Foreign Medical Sciences of Otolaryngology,2005,29(1):35-38.───劉明波,董淑華,唐平章.原發(fā)灶不明的頸部轉(zhuǎn)移癌診斷和治療[J].國外醫(yī)學(xué)耳鼻咽喉科學(xué)分冊,2005,29(1):35-38.
65 、Fellow of the American College of Otolaryngology───美國耳鼻喉科學(xué)會會員
66 、Author Liu Jixiang;Yang Baoqi;Gu Lide (Department of Otolaryngology;Tianjin First Central Hospital;Tianjin;300192;China);───作者劉吉祥;楊寶琦;顧立德;
67 、YUAN Hui-jun; ZHUANG Kun; WU Qiang; LI Yu-chun Department of Otolaryngology; the First Clinical College; Haerbin Medical University; Haerbin 150001; China;───哈爾濱醫(yī)科大學(xué)第一臨床醫(yī)學(xué)院耳鼻喉科;哈爾濱市;
68 、Keywords video naso pharyngo laryngoscope;otolaryngology diseases;───電子喉鏡;耳鼻咽喉疾病;
69 、Author WANG Xiaoyun CHEN Hong LIU Yonggang YUE Wei HUANG Weining (Department of Otolaryngology;Beijing Hospital;Beijing;100730;China);───作者王曉云;陳宏;劉勇剛;岳偉;黃魏寧;
70 、Advances in the Diagnosis, Treatment and Nursing Care of Modern Otolaryngology───現(xiàn)代耳鼻咽喉診治和護理進(jìn)展
71 、OurNow, doctors have the first treament treatment guidelines from the American academy Academy of Otolaryngology , - Head and Neck Surgery Foundation.───現(xiàn)在,美國耳鼻喉學(xué)會的頭頸外科基金會有了治療這種癥狀的指導(dǎo)方針。
72 、Application of Controlled Hypothermia Radio-frequency Ablation Technique in Otolaryngology───低溫溫控射頻消融術(shù)在耳鼻咽喉科的應(yīng)用
73 、Bian Rubing , MD Consultant, He is the Director of the Otolaryngology Department.───卞如兵五官科主任,主任醫(yī)師。
74 、Welcome to the Cummings et al.: Electronic Image Collection of Otolaryngology Head &Neck Surgery.───是否說明這里面只是一些圖片呢?
75 、Objective: To explore the application of controlled hypothermia radio-frequency ablation technique in otolaryngology.───目的:探索低溫溫控射頻消融技術(shù)在耳鼻咽喉科的應(yīng)用。
76 、Author REN Xiang;CHEN Ying;ZHANG Ke-jie;et al(Dept.of Otolaryngology;Qilu Ho spital of Shandong University);───作者任翔;陳瑛;張克杰;史麗;丁元萍;
77 、This paper denotes the training program of middle ear surgery for residents of otolaryngology at the National Taiwan University Hospital.───摘要本文簡述臺大醫(yī)院耳鼻喉部住院醫(yī)師中耳手術(shù)訓(xùn)練之規(guī)劃。
78 、Wearing a mouth appliance designed to moe the lower jaw forward can be an effectie way to reduce snoring and improe sleep apnea symptoms, according to a May 2007 study in Otolaryngology Head and Neck Surgery.───據(jù)《耳鼻咽喉頭頸外科雜志》二零零七年五月刊上登載的研究報道:已經(jīng)成功設(shè)計一種使下頜前移的開口器械,佩帶這種開口器能有效的減輕打鼾和改善睡眠呼吸暫停綜合征。
79 、Author WANG Chenglong;LAI Jinping;WANG Xingwei;et al. Department of Otolaryngology;Xiangya Hospital of Hunan Medical University;Changsha 410008;China;───作者王承龍;賴金平;王行煒;肖健云;趙素萍;田勇泉;徐錫萍;
80 、Author TENG Xiajuan;PAN Sifen (Department of Otolaryngology;Ruijin Hospital;SSMU;Shanghai 200025);───作者滕霞娟;潘巳奮;
頸部淋巴結(jié)的分區(qū)
1991年, 美國耳鼻咽喉頭頸外科基金學(xué)院及美國頭頸外科學(xué)會 (The American Academy of Otolaryngology-Head and Neck Surgery Foundation, Inc. and The American Society for Head and Neck Surgery)制定了頸部淋巴結(jié)分區(qū)方案。
包括頦下區(qū)及頜下區(qū)淋巴結(jié)。
分布著大約 1~14 枚淋巴結(jié),收納頦、唇、頰、口底部、舌前、腭、舌下腺和頜下腺的淋巴液。
Ⅰ區(qū)以二腹肌為界分兩部分, 內(nèi)下方為ⅠA 區(qū),外上方為ⅠB區(qū)。
為頸內(nèi)靜脈淋巴結(jié)上區(qū), 即二腹肌下, 相當(dāng)于顱底至舌骨水平, 前界為胸骨舌骨肌側(cè)緣, 后界為胸鎖乳突肌后緣。
該區(qū)淋巴結(jié)常是喉癌轉(zhuǎn)移首發(fā)部位, 在臨床中具有重要的參考價值。
Ⅱ區(qū)以副神經(jīng)為界分兩部分,其前下方為ⅡA區(qū),后上方為ⅡB 區(qū)。
為頸內(nèi)靜脈淋巴結(jié)中區(qū)
從舌骨水平至肩胛舌骨肌與頸內(nèi)靜脈交叉處,前后界與Ⅱ區(qū)相同。
為頸內(nèi)靜脈淋巴結(jié)下區(qū)。從肩胛舌骨肌到鎖骨上。前后界與Ⅱ區(qū)同,位于肩胛舌骨肌、鎖骨和胸鎖乳突肌側(cè)緣所圍成的區(qū)域。
Ⅱ、Ⅲ、Ⅳ區(qū)共同構(gòu)成頸內(nèi)靜脈淋巴結(jié)鏈 ,收納腮腺、頜下、頦下、咽后壁及頸前淋巴結(jié)的淋巴液,因此是頸廓清術(shù)中的重點區(qū)域。
包括枕后三角區(qū)淋巴結(jié)或稱副神經(jīng)淋巴鏈及鎖骨上淋巴結(jié)。后界為斜方肌前緣 , 前界為胸鎖乳突肌后緣 ,下界為鎖骨。
Ⅴ區(qū)以肩胛舌骨肌下腹為界,上方為Ⅴ A區(qū) ,下方為Ⅴ B 區(qū)。鎖骨上淋巴結(jié)即屬于Ⅴ B 區(qū)。
為內(nèi)臟周圍淋巴結(jié)(juxta visceral nodes),或稱前區(qū)(anterior compartment)。包括環(huán)甲膜淋巴結(jié)、氣管周圍(喉返神經(jīng))淋巴結(jié)、甲狀腺周圍淋巴結(jié),約6~16枚,有人把咽后淋巴結(jié)也歸屬這一區(qū)。
此區(qū)兩側(cè)界為頸總動脈和頸內(nèi)靜脈,上界為舌骨, 下界為胸骨上窩。其中喉前淋巴結(jié)位于環(huán)甲膜部,收容聲門下區(qū)淋巴液,在臨床中具有重要意義。
美國癌癥聯(lián)合委員會(American Joint Committee on Cancer ,AJCC)在公布 TNM分期時,又補充第7 個分區(qū),即上縱隔淋巴結(jié),兩側(cè)界為頸總動脈,上界為胸骨上窩,下界為主動脈弓水平。
耳屎與健康
在我們的耳朵中經(jīng)常能掏出一種淡**的東西,它俗稱耳屎(Earwax),又稱耳垢、耳蟬或耳刺。關(guān)于耳屎,坊間流傳著千奇百怪的說法,如“耳屎有毒”、“吃了耳屎會變成啞巴”、“耳屎可止痛”、“耳屎可治療嘴唇干裂”、“耳屎越掏越聾”、“耳屎特別臟,要及時清理”等。然而,這些說法到底有沒有科學(xué)依據(jù)呢?本文將與您一起撥開云霧見月明,認(rèn)識耳屎的真實面目。
耳屎的學(xué)名叫耵聹(Cerumen)。為了認(rèn)識它,不妨先了解一下人耳的結(jié)構(gòu)。人耳分為外耳、中耳和內(nèi)耳三部分。外耳包括耳廓和外耳道,在外耳道外三分之一軟骨部皮膚中具有一種變型(變異)的汗腺,叫耵聹腺。它能分泌一種淡**、黏稠的物質(zhì),該分泌物就是耳屎的原形。它是一種成分復(fù)雜的混合物,主要包括膽固醇、甘油三酯、醇類以及一種叫做角鯊烯(Squalene)的油性物質(zhì),還含有少量具有特殊作用的物質(zhì)如抗菌肽(抑制細(xì)菌生長)、溶菌酶(破壞細(xì)菌細(xì)胞壁)等。這些物質(zhì)與外耳道皮膚死細(xì)胞、進(jìn)入外耳道的灰塵和細(xì)菌等混合、凝聚在一起,便形成了我們?nèi)粘R姷降亩骸?/p>
由于基因差異,人類中出現(xiàn)了差別的耵聹腺細(xì)胞,產(chǎn)生了濕型和干型兩種不同的耳屎,濕型為顯性性狀,干型為隱性性狀。濕型耳屎俗稱“油耳”,含有更多的脂肪酸類物質(zhì),呈粘性蠟狀;干型耳屎遇空氣易干燥,呈薄片狀,可成片脫落。大部分非洲人、歐洲人、北美人的耳屎是濕型的,所以耳屎在英文中叫Earwax(耳蠟),而不是 Earshit(耳屎)。絕大部分東亞人(包括中日韓人)的耳屎都是干型的。在中國,大多數(shù)人的耳屎是干型,濕型耳屎者所占的比例南北略有差異,北方約10%,南方約18%。此外,耵聹腺細(xì)胞與大汗腺細(xì)胞中負(fù)責(zé)分泌脂肪酸類物質(zhì)的轉(zhuǎn)運蛋白是由人體16號染色體上的同一基因決定的,通常濕型耳屎者更易出汗,也更易患狐臭。
通過分析耳屎的來源和成分得知,無論是干型耳屎還是濕型耳屎,其中只含有對細(xì)菌“有毒”的物質(zhì),并不含對人體有毒的物質(zhì),也沒有致啞的物質(zhì),且至今尚無關(guān)于“因誤食耳屎導(dǎo)致中毒或變啞”的報道。由此看來“耳屎有毒”、“吃了耳屎會變成啞巴”的說法并不可靠,即使誤食了耳屎,也不必驚慌。
過去,西方人曾用耳屎作為潤唇膏或者治療刺傷的藥膏。在1832年版的《美國節(jié)儉主婦》(American Frugal Housewife)一書就記載耳屎是釘扎傷或針刺傷的最好止痛藥,還推薦用耳屎治療嘴唇干裂。坊間流傳的“耳屎可止痛”、“耳屎可治療嘴唇干裂”的說法,可能由此而來。但耳屎中尚未發(fā)現(xiàn)有明顯止痛作用的成分,故“耳屎可止痛”的說法仍需進(jìn)一步研究。耳屎中含有的膽固醇、甘油三酯等油性物質(zhì)的確可滋潤干燥的嘴唇,對緩解嘴唇干裂有一定的作用。然而,如前所述,耳屎成型過程中混雜了細(xì)菌,因此我們不提倡用其潤唇。
耳屎呈酸性,具有抑菌作用;其粘性性狀還具有保護外耳道皮膚和粘附外來物質(zhì)(如灰塵、小飛蟲等)的作用;此外,它還可清潔、潤滑外耳道。如果把耳屎清理得太干凈,就會失去天然的保護,破壞耳道內(nèi)環(huán)境。耳屎清理干凈后,因外耳道干燥,人有癢感,便反射性掏耳朵,且很容易形成習(xí)慣。美國耳鼻喉學(xué)會(American Academy of Otolaryngology)指出,掏耳朵這個習(xí)慣是多余的、不健康的。掏耳朵可刺激耵聹腺分泌更多的耳屎,還可損傷外耳道表皮,甚至造成鼓膜穿孔。多數(shù)情況下,外耳道是可以自凈的。首先,耳道內(nèi)的表皮細(xì)胞十分獨特,它們可以遷移(Migration),當(dāng)耳道內(nèi)細(xì)胞緩慢向外運動時,可將耳屎“順道”帶出;其次,我們?nèi)粘5木捉?、張口等下頜運動也可協(xié)助耳屎向外排出。
耳屎無須特別清理,更沒必要向深處掏挖,人體外耳道內(nèi)三分之二部分不分泌耳屎,每天只需清洗耳廓即可。此外,很多人誤以為棉棒是較佳的潔耳工具,其實棉棒只會將大部分耳屎推向耳道深處,形成崁塞。
若耳屎不能正常排出,在外耳道內(nèi)逐漸凝聚成團,阻塞外耳道,稱為耵聹栓塞(Cerumen impaction),俗稱鐵耳屎。耳屎分泌過多、外耳道皮膚受刺激,挖耳頻繁以及外耳道狹窄或異物存留等,均與鐵耳屎的形成有關(guān)。
鐵耳屎常呈黑色或棕色硬塊,觸之不動。耵聹栓塞的程度及部位不同,癥狀有異。外耳道未完全阻塞者,多無癥狀。外耳道完全阻塞時,常出現(xiàn)不同程度的聽力減退、耳痛、耳鳴、眩暈等;有時因耵聹栓塞刺激外耳道后壁的迷走神經(jīng)而產(chǎn)生反射性咳嗽。持續(xù)刺激外耳道可誘發(fā)外耳道皮膚糜爛、腫脹、肉芽形成等,表現(xiàn)為耳部疼痛或悶脹感。
耵聹栓塞者不可盲目自行掏挖。因為此時耳屎堅硬如石,強行挖取可能傷及外耳道皮膚甚至損傷鼓膜,并易引起感染。不恰當(dāng)?shù)耐诙?,會把耳屎推向深部,更難處理。發(fā)生外耳道耵聹栓塞者,應(yīng)當(dāng)請耳鼻喉科醫(yī)生進(jìn)行專業(yè)檢查和處理。
關(guān)于耳屎尚有許多奧秘有待探索,如美國莫奈爾化學(xué)感官中心研究了一種叫做槭糖尿病(Maple syrup urine, MSUD)的罕見遺傳病,發(fā)現(xiàn)這種病可以很容易地通過耳屎的氣味進(jìn)行診斷。與基因測試相比,挖取耳屎作為檢驗樣本,顯然簡單和便宜得多。
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