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例1,男性,年龄6月。母诉:发现患儿左耳有米样蛆虫爬出已一小时。患儿昨晚整夜嘈闹不安,不吃奶,今晨左耳流血性分泌物,见有米样白色小蛆虫二条,抱来急诊。耳部检查:左外耳道内有脓血性分泌物,甚臭,发现白色小蛆虫仍在游动中,先后钳出小蛆虫二条,清洗分泌物后,见耳道表皮轻度糜烂,鼓膜下半部穿孔,鼓室粘膜红肿,中耳腔内无蛆虫。诊断:(1)左外耳道蝇蛆病,(2)左侧化脓性中耳炎。治疗经过:当即清除蛆虫和脓血性分泌物,耳部滴入4%硼酸酒精、内服抗生素。三日后复诊,母诉蛆虫取出后,患儿无嘈闹,耳部
Example 1, male, age of June. Mother’s law: found that the left ear in children with maggots crawling out of one hour. Last night last night, children with noisy, not nurse, left ear bloody discharge this morning, see a small sample of two white maggots, hold emergency. Ear examination: the left external auditory canal has purulent discharge, very smelly and found small white maggots are still swimming, has a small maggots two clamps, cleaning secretions, see ear canal epidermis mild erosion, the lower part of the tympanic membrane Perforation, tympanic mucosal swelling, no maggots in the middle ear cavity. Diagnosis: (1) left ear canal myiasis, (2) left suppurative otitis media. Treatment after: Immediate removal of maggots and purulent discharge, ear drops of 4% boric acid, oral antibiotics. After three days of referral, mother maggot removed after the child noisy, ears