Prasad Shailendra, Ewigman Bernard
Department of Family Medicine and Community Health, University of Minnesota, Minneapolis, MN USA.
J Fam Pract. 2008 Jun;57(6):370-3.
A mother brings her 3-year-old son to your office first thing in the morning. The boy has fever and right ear pain. You see that the tympanic membrane is dull, red, and bulging. The mother has been up most of the night with her child. She implores you to "do something." She is exhausted and her son is crying and holding his right ear. You know that antibiotics will not provide immediate pain relief and oral analgesics will take a while to help. What can you offer that will help right away? Use 3 drops of topical 2% lidocaine drops or benzocaine to provide rapid pain relief for children with acute otitis media.
一位母亲一大早就带着她3岁的儿子来到你的办公室。男孩发烧且右耳疼痛。你看到鼓膜晦暗、发红且向外膨出。这位母亲整晚大部分时间都在陪着孩子。她恳求你“做点什么”。她疲惫不堪，而她的儿子一边哭一边捂着右耳。你知道抗生素不会立即缓解疼痛，口服镇痛药也需要一段时间才能起作用。你能提供什么能马上有帮助的呢？使用3滴外用2%利多卡因滴剂或苯佐卡因可为患有急性中耳炎的儿童迅速缓解疼痛。
