【答】一、急性中耳炎 (一) 全身用药:根据病人情况,可以用以下三种方法:1.中草药治疗:如蒲公英、金银花、紫花地丁、车前草、五爪金龙,水煎服。2.中药成药:清热消炎片,成人8片,每日3次。银黄片,2片,每日2次。或牛黄解毒片2片,每日2次。3.西药:青霉素40万单位,每日2次,肌注,或其他抗菌素。以上方法可以选用。 (二) 局部用药:如果已经化脓,局部可用3%双氧水洗耳,每日1次。0.5%新霉素滴耳,每日2次。庆大霉素4万单位,滴耳,每日2次。如有过敏,可用醋酸可的松25毫克加生理盐水5毫升混合滴耳,每日2次。二、慢性中耳炎 (一) 单纯性中耳炎:3%双氧水洗耳,每日1次。 Answer: Acute otitis media (a) systemic drug: According to the patient’s condition, the following three methods can be used: 1. Chinese herbal medicine treatment: such as dandelion, honeysuckle, Viola, plantain, Myrtle, Shuijianbi. 2. Herbal medicine: heat anti-inflammatory tablets, adult 8, 3 times a day. Silver tablets, 2 tablets, 2 times a day. Or bezoar detoxification tablets 2, 2 times a day. 3. Western medicine: penicillin 400,000 units, 2 times a day, intramuscular injection, or other antibiotics. The above method can be used. (B) local drug: If you have purulent, local available 3% hydrogen peroxide wash ears, 1 day. 0.5% neomycin ear drops, 2 times a day. Gentamicin 40,000 units, ear drops, 2 times a day. If allergic, available cortisone acetate 25 mg plus saline 5 ml mixed ear drops, 2 times a day. Second, chronic otitis media (a) simple otitis media: 3% hydrogen peroxide wash ear, 1 day.