儿童中耳炎隐蔽性的临床研究  

Clinical study on the silent nature of otitis media in children.

作　　者：韦俊荣[1] 张青[1] 张全安[1] 张晓彤[1] 郑国玺[1] 杜小滢[1] 

机构地区：[1]西安交通大学第二医院耳鼻咽喉科,陕西西安710004

出　　处：《中国儿童保健杂志》2005年第5期379-381,共3页Chinese Journal of Child Health Care

基　　金：陕西省科技攻关项目(2004K16-G5)

摘　　要：【目的】探讨儿童中耳炎隐蔽发病的特性,提高对儿童中耳炎隐蔽发病的诊治及预防水平。【方法】回顾分析无明显临床症状的儿童中耳炎患者30例(44耳)的临床资料。【结果】44耳全部表现为临床症状轻微或完全没有自觉症状,发病隐蔽,体征轻微,鼓膜完整,但全部都有鼓膜活动度减弱的征象。经过治疗,10耳(22.7%)痊愈,17耳(38.6%)显效,9耳(20.5%)有效,8耳(18.2%)无效,总有效率81.8%。【结论】儿童中耳炎隐蔽性发病是一种常见的临床现象,其发病的隐蔽性是相对的,只要早期发现早期治疗,治疗效果良好。[Objective] To analys the characteristic of silent nature of otitis media in children. [Methods] 30 children （44ears） with otitis media without significant symptom were reviewed respectively. [Results] All the cases with ot itis media developed without significant symptom or clinical signs. Tympanic memhranes of these cases were all intact but the movement of tympanic memhrane decreased. After treatment 10 ears（22.7%） were cured, 17ears（38. 6% ）significantly improved, 9 ears（20.5%） improved, 8 ears（18.2%） without effect. The overall effective rate was 81.8%. [Conclusion] It＇s a common phenomenon that otitis media occur and develop silently in children. But the silent nature of otitis media is not ahsolutc. Therap is usually effective when these cases detected and treated in early stage.

关 键 词：隐蔽性 中耳炎 诊断 治疗 儿童 

分 类 号：R764.21[医药卫生—耳鼻咽喉科]