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由于抗主素的广泛使用及对耳部感染的重视,目前急性中耳炎(AOM)并面瘫(EP)已极少见。本文目的是报告2例AOM并FP,复习当前文献,对其病因、病理生理及不同治疗方法加以讨论。例12个月女孩,耳痛起病,继之右侧面瘫,右耳流脓,第3天诊为双侧AOM,体温37.5℃,血沉61mm/L,细白胞16.7×10~9/L,予双侧充分的鼓膜切开术,中耳培养为金葡菌及肺炎链球菌,即予头孢味肟(130mg/d)静脉点滴3天,改青霉素(100mg/d)口服2天,于第8天FP消失。例2 2岁女孩,发热、咽喉痛2.5天就诊,查体示双侧AOM颈淋巴结炎,口服羧氨苄青霉素(250mg×2),咽培养嗜血流感杆菌及肺炎链球菌,2
Acute otitis media (AOM) and facial paralysis (EP) have been rare due to the widespread use of anti-obesity and the emphasis on ear infections. The purpose of this paper is to report 2 cases of AOM and FP, review the current literature, and discuss its etiology, pathophysiology and different treatment methods. A 12-month girl with onset of earache followed by right paralysis and pus on right ear was diagnosed with bilateral AOM on day 3, body temperature 37.5 ° C, ESR 61 mm / L, and fine white blood cells 16.7 × 10 9 / L , To the bilateral full of tympanotomy, middle ear culture of Staphylococcus aureus and Streptococcus pneumoniae, namely to cephalosporins oxime (130mg / d) intravenous drip three days, penicillin (100mg / d) orally for 2 days, at FP disappeared on the 8th day. Case 2 2-year-old girl, fever, sore throat 2.5 days treatment, examination showed bilateral AOM cervical lymphadenitis, oral ampicillin (250mg × 2), pharyngeal culture of Haemophilus influenzae and Streptococcus pneumoniae 2