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渗出性中耳炎(OME)是幼儿时期最常见的慢性耳疾患之一,全世界各地区的处置办法有相当差异,耳、腺样体、扁桃体和鼻窦手术常被采用。以往的研究建议对 OME 的患儿先用抗组织胺类药物治疗6周,停药观察6周,在12周时进行复查,如患儿双侧中耳仍有液体出现,可在2周内送医院行腺样体切除术。腺样体切除术不是因为腺样体的大小,而是把它视为咽鼓管感染的一个病灶。作为手术的主要指征,有时扁桃体也可能成为感染源,因此又把扁桃体切除和腺样体切除一道考虑。
Exudative otitis media (OME) is one of the most common chronic ear conditions in early childhood, and treatment varies considerably across all regions of the world. Ear, adenoids, tonsils and sinus surgery are commonly used. Previous studies suggested that patients with OME should be treated with antihistamines for 6 weeks, discontinued for 6 weeks, and reviewed at 12 weeks. If there is any liquid appearing in the bilateral middle ear, Go to the hospital for adenoidectomy. Adenoid resection is not due to the size of the adenoids, but rather to treat it as a lesion of Eustachian tube infection. As the main indication of surgery, sometimes tonsils may also become the source of infection, so in turn the tonsillectomy and adenoid excision considered.