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儿童分泌性中耳炎漏诊原因分析
引用本文:李淑洁,张峰,高振峰,吕凌燕,张卓. 儿童分泌性中耳炎漏诊原因分析[J]. 中国耳鼻咽喉头颈外科, 2009, 16(9): 495-497
作者姓名:李淑洁  张峰  高振峰  吕凌燕  张卓
作者单位:山东省聊城市第二人民医院耳鼻咽喉科,山东,临清,252601;山东省聊城市第二人民医院耳鼻咽喉科,山东,临清,252601;山东省聊城市第二人民医院耳鼻咽喉科,山东,临清,252601;山东省聊城市第二人民医院耳鼻咽喉科,山东,临清,252601;山东省聊城市第二人民医院耳鼻咽喉科,山东,临清,252601
摘    要:目的探讨儿童分泌性中耳炎的漏诊原因,提高对儿童分泌性中耳炎的认识,避免误诊。方法选择2002年1月~2007年12月我科收治94例(110耳)分泌性中耳炎患儿,其中男54例,女40例,年龄2.7~11岁,平均6.8岁,病程1周~1个月,其中误诊或漏诊7例(12耳),分析患儿的临床资料及检查方法。结果患儿声导抗鼓室图多为B型,其次为C型,72例患儿鼓膜穿刺抽出淡黄色液,占76.6%。结论声阻抗是诊断分泌性中耳炎的主要手段,对防止漏诊有重要意义。

关 键 词:儿童  中耳炎  伴渗出液  误诊

Analysis on causes of missed diagnosis of secretory otitis media in children
LI Shujie,ZHANG Feng,GAO Zhenfeng,LU Lingyan,ZHANG Zhuo. Analysis on causes of missed diagnosis of secretory otitis media in children[J]. Chinese Archives of Otolaryngology-Head and Neck Surgery, 2009, 16(9): 495-497
Authors:LI Shujie  ZHANG Feng  GAO Zhenfeng  LU Lingyan  ZHANG Zhuo
Affiliation:LI Shujie,ZHANG Feng,GAO Zhenfeng,LU Lingyan,ZHANG Zhuo (Department of Otolaryngology,the Second People's Hospital of Liaocheng,Linqing,Shandong,252601,China)
Abstract:OBJECTIVE To explore the causes of missed diagnosis for children with secretory otitis media(SOM) and to avoid misdiagnosis and mistreatment for SOM.METHODS 94 children cases(110 ears) with SOM in our department from January 2002 to December 2007 were selected. Among them 54 boys,40 girls,the ages ranging from 2.7 to 11 years old,mean 6.8 years,disease course was from 1 week to 1 month.Misdiagnosis or missed diagnosis was found in 7 cases(12 ear),their clinical data and examination method were analyzed. RES...
Keywords:Child  Otitis Media with Effusion  Diagnostic Errors  
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