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作者们将158例急性中耳炎的儿童患者(平均年龄4岁)分为两组进行治疗。第一组68例,施行鼓膜切开术后彻底吸净中耳分泌物。第二组 90例,未作鼓膜切开术。全部病人都接受青霉素治疗,每日每公斤体重剂量为80,000～100,000IU口服,共10日。全部患儿都做了鼻咽部细菌培养。随访由第一次接诊的医师担任。第一阶段为14天,在此期间,手术组的患儿如有必要,还可进行再次手术。第二阶段为28天,这期间原来的非手术组病人,如有必要也进行鼓膜切开术。 [结果]鼓膜切开组:在2周内治愈率为71％(48/68),第四周为90％。非手术组:在2周内治愈率为42％(38/90),第四周为71％(64/
The authors divided 158 children with acute otitis media (mean age, 4 years) into two groups. The first group of 68 cases, the implementation of tympanotomy after the net absorption of the middle ear secretions. The second group of 90 patients without tympanotomy. All patients received penicillin treatment, daily doses of 80,000 to 100,000 IU per kilogram of body weight, a total of 10 days. All children have done nasopharyngeal bacterial culture. Follow-up by the first admissions physician. The first phase was 14 days, during which time the surgically treated children were reoperated if necessary. The second phase was 28 days, during which time the original non-surgical patient underwent tympanotomy if necessary. [Result] The tympanotomy group: the cure rate was 71% (48/68) in 2 weeks and 90% in the 4th week. Non-surgical group: cure rate was 42% (38/90) in 2 weeks, 71% in the fourth week (64 /