市中病院における小児急性中耳炎鼓膜切開症例の検討

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  • A Study on Myringotomy in Cases with Acute Otitis Media in Children in a Community Hospital
  • 臨床 市中病院における小児急性中耳炎鼓膜切開症例の検討
  • リンショウ シ ジュウ ビョウイン ニ オケル ショウニ キュウセイ チュウジエン コマク セッカイ ショウレイ ノ ケントウ

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Objectives: To assess the efficacy of myringotomy for mild or severe acute otitis media cases conducted in our department and examine search backgrounds of these cases.<br> Methods: We studied 72 cases (117 ears) in which we carried out a myringotomy.<br> Results: The following results were obtained.<br> 1. The frequency of detection of PISP in this study was greater than that in a 2007 National surveillance.<br> 2. The treatment of mild acute otitis media cases with high dose AMPC, high dose CFPN-PI or AMPC/CVA (14:1) was effective. As a result, the cases of myringotomy in our department decreased from 44 cases in 2010 to 14 cases in 2011.<br> 3. The efficacy rate 3 weeks after myringotomy was 91.7%, which is higher than that of other reports. On the other hand, the recurrence rate was 40.3%, which required treatments.<br>

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