以耳鼻喉科症状为首发的颅内病变病例的临床分析

Clinical analysis of intracranial lesions with otolaryngological symptoms as th first

目的 探讨以耳鼻喉科症状为首发的颅内病变在门诊的诊断及相应的治疗,并反映出学科之间的相关联。方法 回顾分析我科门诊自2020年10月至2021年11月门诊就诊的共4名病例的临床资料。结果 患者虽然是以耳鼻咽喉科症状为主,但最终确诊为颅内肿瘤,并根据肿瘤部位不同采取了不同进路的手术治疗,目前经随访患者均生命体征良好,除听神经瘤患者术后有面瘫、听力损失外,其余患者均无明显其他并发症。眩晕患者治疗后已无眩晕症状,咽部不适患者仍有咽部不适感。结论 通过此类病人的诊治反映出目前临床医学不同于以往的传统医学的单一性,局限性,而是学科与学科之间互相交叉,这也对临床工作者提出更高的要求,要拓宽知识的维度,重视交叉学科领域的学习,并在临床工作中注意对疾病的鉴别。

Objective To explore the diagnosis and corresponding treatment of intracranial lesions with otorhinolaryngology symptoms as the first symptom in outpatient department,and to reflect the correlation between disciplines.Methods The clinical data of 4 outpatients in our department from October 2020 to November 2021 were analyzed retrospectively.Results Although the main symptoms of the patients were otolaryngology symptoms,they were finally diagnosed as intracranial tumors,and different approaches were taken according to different tumor sites.At present,the vital signs of the patients were good after follow-up.Except for the patients with acoustic neuroma who had facial paralysis and hearing loss after operation,the other patients had no obvious other complications.The vertigo patient has no vertigo symptoms after treatment,and the patient with pharyngeal discomfort still has pharyngeal discomfort.Conclusion The diagnosis and treatment of such patients reflects that the current clinical medicine is different from the previous traditional medicine in terms of singleness and limitations,but the intersection between disciplines,which also puts forward higher requirements for clinical workers.We should broaden the dimension of knowledge,pay attention to the study of interdisciplinary fields,and pay attention to the identification of diseases in clinical work.