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目的 :提高对真菌感染引起的慢性化脓性中耳炎的诊断与治疗水平。方法 :应用自制鼓室冲洗器冲洗鼓室 ,干净后向鼓室内喷入制霉菌素强的松粉。结果 :8例治愈 6例 ,有效 2例 ,有效率 10 0 % ,纯音测听示听力提高 5~ 15dB。结论 :对有较长时间慢性中耳化脓病史 ,本次发作以耳痒及流黄水为特点 ,应用抗生素不能干耳 ,鼓膜中等或大穿孔的患者 ,要考虑真菌感染 ,治疗时抗真菌药物应进入中耳。
Objective: To improve the diagnosis and treatment of chronic suppurative otitis media caused by fungal infection. Methods: The homemade tympanum rinser was used to rinse the tympanum. After the nebulization, the nystatin strong loose powder was sprayed into the tympanum. Results: 8 cases were cured in 6 cases, effective in 2 cases, the effective rate was 10%, audiometry audiometry showed improved 5 ~ 15dB. Conclusion: For a long time with chronic middle ear suppurative history, this episode is characterized by itching of the ears and dripping of yellow water. Antifungal agents should be considered in the treatment of patients with moderate or large perforation of the ear, Should enter the middle ear.