分泌性中耳炎：药物治疗是一种选择吗？
Otitis media with effusion: is medical management an option?
作者信息
Burke P
出版信息
J R Coll Gen Pract. 1989 Sep;39(326):377-82.
Abstract
Persistent middle ear effusion is a common cause of hearing impairment and remains underdiagnosed, particularly among younger children. Detection can be improved by adequate follow-up of otitis media. Decisions on management need to take into account the child's age, duration and severity of illness, degree of hearing impairment, and any evidence of learning difficulties. There is no definitive cure but both medical and surgical treatments may improve outcome. With increasing evidence that antihistamine-decongestant mixtures are ineffective, there may in the future be a role for antibiotics and steroids.
摘要
持续性中耳积液是听力障碍的常见原因，目前仍诊断不足，尤其是在年幼儿童中。通过对中耳炎进行充分随访可提高其检出率。治疗决策需要考虑儿童的年龄、病程、病情严重程度、听力受损程度以及任何学习困难的迹象。目前尚无确切的治愈方法，但药物治疗和手术治疗均可改善治疗效果。随着越来越多的证据表明抗组胺药-减充血剂合剂无效，未来抗生素和类固醇可能会发挥作用。
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