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目的分析新生儿中耳炎的临床特点,提高医师对此病的早期认识和诊治水平。方法对成都市妇女儿童中心医院新生儿科220例新生儿中耳炎患者的临床特点进行分析。结果新生儿中耳炎临床表现很不典型,耳痛在新生儿期基本上观察不到,有外耳溢液的仅有3.6%,有发热的也只有28.2%,而非特异性表现(黄疸)多达66.3%;且易合并其它呼吸道感染(如上呼吸道感染、肺炎),甚至严重感染(如败血症、化脓性脑膜炎)。结论新生儿科医生应加强对中耳炎的早期认识,尤其是在患儿有原因不明的黄疸、发热及其它呼吸道感染时,应及时想到该病,加强新生儿科医生和耳鼻喉科医生合作显得尤其重要。
Objective To analyze the clinical features of otitis media in neonates and to improve their early understanding and diagnosis and treatment of the disease. Methods The clinical features of 220 cases of neonates with otitis media from neonatology in Chengdu Women and Children’s Central Hospital were analyzed. Results The clinical manifestations of otitis media in newborns were not typical. Earache were not observed in most newborns, with only 3.6% of exudate exudates and only 28.2% of those with fever, while nonspecific findings (jaundice) were as high as 66.3 %; And easy to merge other respiratory infections (such as upper respiratory tract infection, pneumonia), and even severe infections (such as sepsis, purulent meningitis). Conclusions Neonatologists should strengthen their early understanding of otitis media. Especially in patients with unexplained jaundice, fever and other respiratory infections, the disease should be promptly thought out. It is especially important to strengthen cooperation between neonatologists and otolaryngologists.