通常认为急性中耳炎是一种细菌感染性疾病,应用抗生素可以使症状在24小时内好转,大约4～18%的患者对抗菌药物效果不佳。为了观察病毒感染对急性中耳炎的作用,作者于1987年9月至1988年10月对22例经2～14天(平均4.8天)抗生素治疗效果不佳的急性中耳炎患者的中耳渗液和鼻咽部分泌物做了病毒学检查。患者的年龄从34天至4.2岁,平均1.3岁。经检查的病毒包括流感病毒 A 型和 B 型、副流感病毒1、2、3型、腺病毒、呼吸道合 It is generally accepted that acute otitis media is a bacterial infectious disease. With antibiotics, the symptoms can be improved within 24 hours. About 4 to 18% of patients are not effective against antibiotics. In order to observe the effect of viral infection on acute otitis media, the authors treated 22 middle ear exudates and nasals of 22 patients with acute otitis media who did not respond well to antibiotics for 2 to 14 days (mean, 4.8 days) from September 1987 to October 1988 Throat secretions done virological examination. The patient’s age ranged from 34 days to 4.2 years with an average of 1.3 years. The examined viruses include influenza A and B viruses, parainfluenza viruses 1, 2 and 3, adenovirus, respiratory tract