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我们采用醋酸可的松,经鼓膜穿刺或经咽鼓管将药注入鼓室,治疗卡他性中耳炎64例,收显效者53例,11例无效。经鼓膜穿刺注药时,鼓膜先行地卡因麻醉,消毒后于鼓膜后下方用22号针头穿刺。注入药量每次每侧0.1～0.2毫升,含醋酸可的松0.2～0.5毫克。每周1～2次,一般3～4次即显效。经耳咽管用药,可在耳咽管通气时由导管注入药物,并继续通气使之达于鼓室。此法不适用于儿童。药量同上。本法对慢性卡他性中耳炎,特别有鼓膜萎缩、粘连、石灰沉着者,效果不显或无效。
We use cortisone acetate, the tympanic membrane or eustachian tube through the eustachian tube into the tympanic cavity, the treatment of catarrhal otitis media in 64 cases, 53 cases were markedly effective, 11 cases ineffective. The tympanic membrane injection, the eardrum anesthesia first caine, disinfection after the tympanic membrane below the needle with 22 needles. Infusion dose of 0.1 to 0.2 ml each side, containing 0.2 to 0.5 mg of cortisone acetate. 1 to 2 times a week, usually 3 to 4 times that markedly effective. Through the eustachian tube medication, can be in the Eustachian tube ventilation catheter infusion of drugs, and continue to reach the tympanum ventilation. This method does not apply to children. Dosing as above. This Act on chronic catarrhal otitis media, especially tympanic membrane atrophy, adhesions, lime calm, the effect is not significant or invalid.