頁籤選單縮合
題名 | 急性中耳炎與慢性中耳積液--過敏科醫師的觀點=Otitis Media--The Point of View of Allergist |
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作者姓名(中文) | 陳五常; | 書刊名 | 中華民國小兒科醫學會雜誌 |
卷期 | 40:增刊A 民88.04 |
頁次 | 頁30-33 |
分類號 | 417.6821 |
關鍵詞 | 急性中耳炎; 慢性中耳積液; |
語文 | 中文(Chinese) |
英文摘要 | Otitis media(OM)is characterized by inflammation of the middle ear and is usually associated with middle ear effusion(MEE). There are very few children who have not experienced at least one episode of AOM during their childhood. Time to resolution of MEE after the first episode of AOM has been reported: at 2 weeks 70% had still MEE; 40% at 1 month; 20% at 2 months; and 10% at 3 months. The etiology of OM has been shown to be multifactorial with eustachian tube dysfunction, bacterial or viral infections of the middle ear, and nasal inflammation resulting from allergy or viral URIs acknowledged as being contributing factors. The history, physical examination and the pneumatic otoscopy are sufficient to establish the diagnosis. The use of the tympanometry and audiogram has been recognized as a valuable adjust in the management of OME. The initial management of acute OM consists of choosing appropriate antibiotics. If allergic rhinitis is documented, antihistamines, intranasal cromoglycate, intranasal topical steroids, allergen avoidance and immunotherapy could be considered. The surgical management of OME includes insertion of tympanostomy tubes and adenoidectomy. Both of these procedures appear to be beneficial in certain patients, but better documentation of their efficacy needs to be confirmed in controlled studies. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。