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儿童中耳炎的并发症

Complications of otitis media in children.

作者信息

Farrior J

出版信息

South Med J. 1990 Jun;83(6):645-8. doi: 10.1097/00007611-199006000-00012.

DOI:10.1097/00007611-199006000-00012
PMID:2356497
Abstract

The complications of otitis media are frequently not considered in discussions of the medical or surgical management of this disease. Retrospective review of 135 cases in children treated surgically in an otologic referral practice between 1981 and 1989 revealed that perforation of the eardrum (57 cases) was the most common complication of otitis media, followed by cholesteatoma (54), mastoiditis (16), and atelectasis of the eardrum (eight). Coalescent mastoiditis was most common in children less than 6 years of age, whereas cholesteatoma and ossicular chain destruction occurred more frequently with increasing age. The presenting signs and symptoms of the complications and their management are presented to help alert the practitioner to the potentially severe complications of otitis media.

摘要

在讨论中耳炎的药物或手术治疗时,中耳炎的并发症常常未被考虑在内。对1981年至1989年间在一家耳科转诊诊所接受手术治疗的135例儿童病例进行回顾性研究发现,鼓膜穿孔(57例)是中耳炎最常见的并发症,其次是胆脂瘤(54例)、乳突炎(16例)和鼓膜萎缩(8例)。融合性乳突炎在6岁以下儿童中最为常见,而胆脂瘤和听骨链破坏则随着年龄增长而更频繁地发生。文中介绍了这些并发症的临床表现、症状及其治疗方法,以帮助从业者警惕中耳炎可能出现的严重并发症。

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