化脓性中耳炎急性期的治疗在处理感染性中耳疾病中占有重要地位。在芬兰五所大学的耳鼻喉科教学中都强调对所有急性化脓性中耳炎病例早期施行鼓膜切开术的重要性,认为鼓膜切开术能有效地加速治愈,阻止其发展成慢性;防止脓液向鼓窦和乳突气房蔓延,保证中耳氧分压增加,从而有利于咽鼓管口周围的粘膜水肿消退。对于反复发作过三次者,主张切除腺样体、上颌窦灌洗及置通气管。根据作者的经验,这样治疗效果很好,所有病人都获得痊愈。若中耳粘膜发展成分泌型、咽鼓管粘膜持续肿胀、乳突气房明显混浊或气化停止,应鼓励长期使用通气管治疗。若乳突区感染活跃、中耳液有菌、通气管有分泌物流出,如乳突照片有乳突气房破坏和肉芽性乳突炎的征象,应考虑做乳突凿开术。单纯乳突凿开术作者强调乳突凿开术应象乳突根治术一样彻底。所谓单纯只是指决不进入 The treatment of acute suppurative otitis media in the treatment of infectious middle ear disease occupies an important position. The importance of early tympanotomy in all cases of acute suppurative otitis media has been emphasized in the teaching of otolaryngology at five Finnish universities. It is believed that tympanotomy is effective in accelerating healing and preventing its progression to chronicity. The propagation of the sinus and mastoid atrioventricular antrum, to ensure that the partial pressure of oxygen in the middle ear increases, which is conducive to mucosal edema around the eustachian tube orifice regression. For repeated attacks three times, advocate resection of adenoids, maxillary sinus lavage and set the ventilation tube. According to the author’s experience, this treatment works well and all patients are healed. If the middle ear mucosa development of secreting type, eustachian tube mucosa continued swelling, mastoid air rooms significantly cloudy or gasification stopped, should be encouraged to use long-term ventilation tube treatment. If the active infection in the mastoid area, there are bacteria in the middle ear fluid, ventilation tube outflow of secretions, such as mastoid photos mastoidectomy damage and granulomatous mastoiditis signs should be considered to do mastoid surgery. Simple mastoidectomy The authors emphasize that mastoid surgery should be as thorough as radical mastoidectomy. The so-called simple refers only to never enter