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本文介绍儿童顽固性分泌性中耳炎之治疗方法,并总结九个月内280例之观察结果。分泌性中耳炎是由多种原因造成,同患此症可产生不同之后果,治疗目的不仅要增进听力,还要防止中耳结构产生不可逆性损害。一般保守治疗90%可获痊愈;其余10%主要是儿童。在这10%病例中应详细询问病史及寻找病因,如:(1)医源性因素;(2)变态反应性因素;(3)解剖问題;(4)遗传因素;(5)全身因素;(6)感染问题。同时进行实验室、听力学检查及上颁窦、乳突X线絰片。治疗方法有药物及手术两种,多数儿童对磺胺类反应良好,在排除上述病因后短期或长期内服磺胺类药物可“治愈”顽固性分泌性中耳炎。
This article describes the treatment of intractable otitis media in children and summarizes the results of 280 cases within nine months. Secretory otitis media is caused by a variety of causes, with the disease can produce different consequences, the purpose of treatment not only to enhance hearing, but also to prevent the middle ear structure irreversible damage. 90% of the general conservative treatment can be cured; the remaining 10% are mainly children. In this 10% of cases should be asked in detail about the history and find the cause, such as: (1) iatrogenic factors; (2) allergic factors; (3) anatomical problems; (4) genetic factors; (5) systemic factors; (6) infection problem. At the same time laboratory, audiology examination and issued sinus, mastoid X-ray film. Treatment of two drugs and surgery, most children respond well to sulfonamides, in ruled out the above causes of short-term or long-term oral administration of sulfonamides can “cure” refractory secretory otitis media.