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通气管用于急性中耳炎者不多,Hattori(1975)曾报告治疗36例效果满意。本文报告1973～1978年间治疗30例(56耳)幼儿的复发性中耳炎的结果。患儿发病年龄7天至23个月。此30例均为全身和局部应用抗生素、反复鼓膜切开与仔细清洗治疗无效者。一个月内鼓膜切开4次仍不恢复正常或在6个月内复发急性中耳炎者作为放通气管的适应症。在10%可卡因鼓膜麻醉后,在显微镜下切开鼓膜后下象限并插入通气管(自制聚乙烯哑铃状小管),并根据细菌培养药物敏感试验选用适宜抗生素一周。术后3天、1周、2周、1个月和每隔1个月随访一次。结果41耳(73%)
There are not many ventilation tubes for acute otitis media, and Hattori (1975) reported satisfactory results in 36 cases. This article reports the results of the treatment of recurrent otitis media in 30 children (56 ears) from 1973 to 1978. Children with onset of 7 days to 23 months. The 30 cases were systemic and topical antibiotics, repeated tympanic membrane incision and careful cleaning ineffective treatment. Within 4 months of tympanotomy incision 4 months still does not return to normal or within 6 months of recurrent acute otitis media as the ventilation of the indications. After a 10% cocaine anesthesia, the posterior quadrant of the eardrum was cut under a microscope and inserted into a ventilation tube (homemade polyethylene dumbbell tubules). A suitable antibiotic was selected for one week according to the bacterial culture drug susceptibility test. After 3 days, 1 week, 2 weeks, 1 month and every other month follow-up time. Results 41 ears (73%)