外耳道湿疹以局部皮肤红肿、疱破后糜烂渗液及瘙痒为主要特征。笔者采用四环素可的松眼膏治疗外耳道湿疹58例,疗效好、疗程短,报告如下。 1 临床资料 58例中,男21例,女37例,均为单纯性湿疹。急性湿疹54例,多为婴幼儿;慢性湿疹4例。临床表现为皮损及瘙痒。急性湿疹皮损为局部皮肤红肿,有多个小水疱,疱破后点状糜烂、渗液,可被黄色痂皮覆盖。如搔抓后继发感染,则病损扩大,甚至出现小浅溃疡。慢性湿疹局部皮肤增厚,表皮有脱屑、皲裂、甚至外耳道变窄。方法:湿疹部位以生理盐水洗净拭干,用四环素可的松眼膏(武汉第三制药厂生产,每支2g)涂抹患处2次/d,对局部红肿疼痛严重、合并感染者,给予抗生素治疗。结果:急性湿疹治疗3d,小水疱及糜烂面即可结痂痊愈。慢性湿疹治疗7d,脱屑、增厚之皮肤即可消肿变软,逐渐恢复正 External auditory canal eczema to local skin irritation, blisters and erosion after the effusion and itching as the main feature. I used tetracycline cortisone ointment 58 cases of external auditory canal eczema, good effect, short course, the report is as follows. A clinical data of 58 cases, 21 males and 37 females, are simple eczema. 54 cases of acute eczema, mostly infants and young children; 4 cases of chronic eczema. Clinical manifestations of lesions and itching. Acute eczema skin lesions for the local redness, there are multiple small blisters, pustular punctate erosion, exudate, yellow crusts can be covered. Such as secondary infection after scratching, the lesion expanded, or even a small shallow ulcer. Chronic eczema local thickening of the skin, epidermis scaling, chapped, and even external auditory canal narrowing. Methods: The eczema area was washed with saline and wiped dry, with tetracycline cortisone ointment (Wuhan Third Pharmaceutical Factory production, each 2g) smear the affected area 2 times / d, on the local swelling and pain, combined infection were given antibiotics treatment. Results: Acute eczema treatment 3d, small blisters and erosion surface scab heal. Chronic eczema treatment 7d, scaling, thickening of the skin can be swollen soft, and gradually recovered