由于耳部结构及病理生理特点,儿童急性中耳炎的发病率远高于成人,是引起小儿发热的常见疾病之一。小儿急性中耳炎往往缺乏早期特异的临床表现,因而在欧美国家,对发热儿童,儿科医生都常规进行鼓膜检查以明确有无中耳感染。但在我国,儿科诊疗常规并无明确规定。是否中国儿童急性 Due to the structure of the ear and pathophysiology, the incidence of acute otitis media in children is much higher than that of adults, which is one of the common diseases that cause children’s fever. In children with acute otitis media often lack of early specific clinical manifestations, which in Europe and the United States, for fever in children, pediatricians routine tympanic membrane examination to confirm the presence of middle ear infection. But in our country, the routine of pediatric clinic does not specify. Whether Chinese children are acute