目的:探讨慢性中耳炎合并鲍氏不动杆菌感染患者的临床特点、诊断方法及预后情况。方法:回顾性分析6例慢性中耳炎合并鲍氏不动杆菌感染患者的临床资料,包括病史、临床表现、实验室检查、听力学、内耳CT及MRI等影像学特征、治疗方法及预后等,总结慢性中耳炎合并鲍氏不动杆菌感染患者的临床特点及诊断治疗方法。结果:6例患者中4例伴基础疾病,5例以耳流脓为主要症状,1例以耳痛为首发症状,1例伴有面瘫症状,3例伴有不同程度的眩晕,2例伴有头痛。4例伴不同程度耳鸣,纯音听阈检查均大于40dB,CT检查4例患者伴有骨质破坏征象,常规滴耳液治疗无效;5例耳流脓患者经手术治疗得以改善,其中3例显效,2例复发。结论:慢性中耳炎合并鲍氏不动杆菌感染多发生在中老年、体质较差的患者,病史较长且有长期应用抗生素类滴耳液病史,耳流脓、体力下降程度较高,多伴有头痛、头晕及面瘫等并发症症状,常规治疗方法复发率较高,且漏诊率高。根治手术、敏感抗生素联合治疗,效果确切。 Objective: To investigate the clinical features, diagnosis and prognosis of chronic otitis media with Acinetobacter baumannii infection. Methods: The clinical data of 6 cases of chronic otitis media combined with Acinetobacter baumannii infection were retrospectively analyzed, including the history, clinical manifestations, laboratory tests, audiology, imaging features of internal ear CT and MRI, treatment methods and prognosis. Clinical features and diagnosis and treatment of chronic otitis media with Acinetobacter baumannii infection. Results: Of the 6 patients, 4 patients had underlying diseases, 5 patients had primary effusion, 1 patient had earache as the first symptom, 1 patient had facial paralysis, 3 patients had varying degrees of dizziness and 2 patients Have a headache. 4 cases with different degrees of tinnitus, pure tone hearing threshold examination were greater than 40dB, CT examination of 4 patients with signs of bone destruction, conventional ear drops treatment is invalid; 5 cases of ear purulent patients were treated by surgery, of which 3 cases markedly, 2 cases of recurrence. CONCLUSIONS: Chronic otitis media with Acinetobacter baumannii infection mostly occurs in middle-aged and elderly patients with poor health. They have a long history of history of antibiotic ear drops, ear-suppurative pus, and physical decline. They are often associated with Headache, dizziness and facial paralysis and other complications, the recurrence rate of conventional treatment methods, and the high rate of missed diagnosis. Radical surgery, sensitive antibiotics combined treatment, the exact effect.