小儿渗出性中耳炎漏诊问题的临床体会

Clinical experience on omiting diagnosis of children secretory otitis media

关键词:  儿童  分泌性中耳炎  漏诊问题  临床体会

Key words:  children  secretory otitis media  omitting diagnosis  clinical experience

摘要:

［目的］通过对小儿分泌性中耳炎患者治疗进行回顾性分析，总结造成小儿分泌性中耳炎漏诊的原因。［方法］选择近三年收治分泌性中耳炎患者64例，并通过临床症状、专科检查及声阻抗检查明确诊断。［结果］患儿声阻抗鼓室图多为B型,其次为C型，多数患儿鼓膜穿刺抽出淡黄色液，占76.7%。［结论］认识到患儿缺乏自我感知能力及表达能力不足，对病情不能正确主诉及声阻抗是诊断分泌性中耳炎主要手段，对防止漏诊有重要意义。

Abstract:

［Objective］ To looking back the patient children of secretary otitis media of recent three years，to summary the reason of omitting diagnosis. ［Methods］To choice 64 experience of secretory otitis media of recent three years It can be diagnosed through symptom ，specialized checking，acoustic immitance measurement etc.［Results］The tympanogram of most patient children is“B”，secondary is“C”.Most children Puncture in the tympanic membrane ,It can get light yellow liquid (reach to 76.6%).［Conclusion］ To realize patient children lacking sense perception and inconsiderale expressing ability and cannot express his ideas accurately and to realize acoustic immitance measurement is the main method to diagnose secretary otitis media to prevent omitting diagnosis is very important.