临床误诊误治2018，Vol.31Issue(1)：51-53,3.DOI:10.3969/j.issn.1002-3429.2018.01.018
儿童分泌性中耳炎76例误漏诊原因分析及治疗观察
Analysis of the Causes of Misdiagnosis and Mistreatment of Secretory Otitis Media in 76 Children
摘要
Abstract
Objective To investigate the causes of misdiagnosis and mistreatment of secretory otitis media in chil-dren, so as to reduce misdiagnosis and mistreatment. Methods A retrospective analysis of our hospital in June 2012 to 2016 June hospitalized 852 cases of children with secretory otitis media in 76 cases of misdiagnosis and mistreatment of clinical da-ta. Results 76 cases of this group, accounting for 8. 92％ of the disease in our hospital during the same period. The clinical manifestations of 8 cases with headache, stuffy nose, runny nose and other respiratory symptoms in 34 cases, 18 cases of hear-ing loss, 16 cases of snoring. There were 19 cases of tympanic membrane congestion, 51 cases of tympanic membrane depres-sion, 52 cases of B type anti sign, 24 cases of C type anti sign, 33 cases of hearing loss in different degrees. 76 cases were misdiagnosed in the external hospital, 40 cases were missed diagnosis, only diagnosed as adenoidal hypertrophy; 37 cases were misdiagnosed, 27 cases were misdiagnosed as upper respiratory tract infection, 4 cases of drug induced deafness, 2 cases of sudden deafness, 3 cases of acute suppurative otitis media. 76 cases were diagnosed with secretory otitis media by specialist examination, tympanum conduction test and hearing examination in our hospital. All patients were cured by adenoidectomy, tympanic membrane puncture or catheter, drug symptomatic treatment according to the condition. Conclusion Secretory otitis media in children is a common disease in Department of ENT. Clinical work should be based on children's complaints, clinical manifestations and hearing test results, especially in children with adenoidal hypertrophy, should be highly vigilant, compre-hensive judgment in many aspects, in order to reduce misdiagnosis and missed diagnosis rate.关键词
伴渗出液中耳炎/儿童/误诊/呼吸道感染/听觉丧失Key words
Otitis media with effusion/Child/Misdiagnosis/Respiratory tract infections/Hearing loss分类
医药卫生引用本文复制引用
陶振峰,肖淑芬,陈坤,周永青..儿童分泌性中耳炎76例误漏诊原因分析及治疗观察[J].临床误诊误治,2018,31(1):51-53,3.基金项目
河北省2014年度医学科学研究重点课题计划(ZD20140363) （ZD20140363）
