Bhattacharyya A K, Ghodh S
St. Bartholomews and Royal London Hospitals & Medical School, London.
Indian J Otolaryngol Head Neck Surg. 1998 Apr;50(2):156-61. doi: 10.1007/BF02991679.
The management of Acute otitis media has been a subject of controversy. This paper discusses the the current opinion on the subject including a review of recent literature. The use and choice of antibiotics reflects the wide variation in opinion for both first line and second-line therapy. The role of tympanocentesis and prophylactic treatment is discussed. The introduction of vaccines holds new promise on the prevention of Acute otitis media. Factors affecting outcome influence the management plan especially in recurrent cases, high risk groups and treatment failures.
急性中耳炎的治疗一直是一个有争议的话题。本文讨论了关于该主题的当前观点，包括对近期文献的综述。抗生素的使用和选择反映了一线和二线治疗在观点上的广泛差异。文中还讨论了鼓膜穿刺术和预防性治疗的作用。疫苗的引入为预防急性中耳炎带来了新的希望。影响预后的因素会影响治疗方案，尤其是在复发性病例、高危人群和治疗失败的情况下。
