急性卡他性中耳炎是耳科常见病,根据病史、鼓膜象及听力检查诊断并不难。但于门诊中发现误诊、漏诊者间有发生,甚至成为儿童致聋的一个重要病因。现将误诊原因分析如下。 临床资料 在310例病人中,漏诊者63例,其中误诊为急性外耳道炎者8例,急性化脓性中耳炎者15例,突发性耳聋者5例,药物中毒性耳聋者9例,老年性聋者11例,急性鼓膜者4例,耳耵聍栓塞者5例,其它6例。 Acute catarrhal otitis media is a common ear disease, according to history, tympanic membrane and hearing diagnosis is not difficult to diagnose. However, misdiagnosis was found in outpatients, missed patients occurred, and even become an important cause of deafness in children. Misdiagnosis is now analyzed as follows. Clinical data of 310 patients, 63 cases of missed diagnosis, of which 8 cases were misdiagnosed as acute otitis externa, 15 cases of acute suppurative otitis media, 5 cases of sudden deafness, 9 cases of drug-induced deafness, senile deafness 11 cases, 4 cases of acute tympanic membrane, 5 cases of ear 耵 聍 embolism, the other 6 cases.