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在acute otitis media uptodate這個產品中，有1篇Facebook貼文，粉絲數超過7萬的網紅加護病房查房日誌，也在其Facebook貼文中提到， 加護病房查房日誌20180524 哀，中耳炎真的還滿常在周遭的朋友小孩身上聽到的，歡迎底下留言，自己小孩有中耳炎經驗的+1。 老師這幾次要分享一下小兒中耳炎的一些讀書心得。 首先，先講一下急性中耳炎(acute otitis media, AOM)的診斷，簡單來說是需要 1. 鼓膜脹起來。...

acute otitis media uptodate 在 加護病房查房日誌 Facebook 的精選貼文

加護病房查房日誌 By 加護病房查房日誌

2018-05-24 10:18:55 有 168 人按讚
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加護病房查房日誌20180524
哀，中耳炎真的還滿常在周遭的朋友小孩身上聽到的，歡迎底下留言，自己小孩有中耳炎經驗的+1。
老師這幾次要分享一下小兒中耳炎的一些讀書心得。
首先，先講一下急性中耳炎(acute otitis media, AOM)的診斷，簡單來說是需要
1. 鼓膜脹起來。
2. 其他急性發炎的情況，例如: 鼓膜紅腫，發燒，耳朵痛和中耳積液。給大家看一下圖片(節錄至uptodate)。
再來講一下臨床進展
AOM的症狀通常在72小時會緩解，若用抗生素的會緩解得比較快。在2013年的統合分析中指出，在沒有使用抗生素的小孩中，一半的小孩三天內中耳疼痛會緩解，9成的小孩在7-8天會緩解。(BMJ. 2013;347:f7027. Epub 2013 Dec 11. )
不管是否有接受抗生素治療，緩解急性症狀後，持續的中耳積水是很常見的。在一個2565個小孩的前瞻性研究，從出生開始追蹤，開始有AOM症狀後，中耳積水可以持續數周到數月。(Ann Otol Rhinol Laryngol Suppl. 1980;89(3 Pt 2):5. )在第二周，仍有七成的比率有積水，一個月時剩下4成，兩個月時剩下2成，三個月剩下10%。
有時候中耳炎的時程還滿久的，真的要有耐心和細心來照顧小孩。
預告下次再講抗生素的使用。
#中耳炎
#acuteotitismedia
#AOM

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這是一個分享加護病房中查房心得，醫藥新知的地方。以簡單的方式呈現給大家，希望對大家有所幫助。
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acute otitis media uptodate 在 Acute otitis media in children: Treatment - UpToDate 的相關結果

Acute otitis media (AOM), also called purulent otitis media and suppurative otitis media, is a common problem in children and accounts for a large ... ... <看更多>

acute otitis media uptodate 在 Acute otitis media in children: Clinical manifestations and ... 的相關結果

Acute otitis media (AOM) is a common problem in children and accounts for a large proportion of pediatric antibiotic prescriptions. ... <看更多>

acute otitis media uptodate 在 acute-otitis-media- - UpToDate 的相關結果

… Acute otitis media (AOM) is defined by moderate to severe bulging of the tympanic membrane or new onset of otorrhea not due to acute otitis externa ... ... <看更多>

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