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作者们于1979～1983年间对88例成人急性化脓性中耳炎进行了细菌学的研究。患者的年龄16～79岁。其中56例在首次检查时,根据严重耳痛和鼓膜红肿,作了鼓膜穿刺,吸出物作细菌培养,其余32例均为鼓膜自行穿孔而致耳漏,用无菌棉签采集中耳溢液作细菌培养,并注意不触及外耳道。结果分离出96株细菌,主要的有肺炎链球菌62.5%、流感嗜血杆菌10.5%,金黄色葡萄球菌11.5%,化脓性链球菌7.3%;无厌氧菌生长。有44例在取中耳标本的同时还取了鼻咽部的分泌物作细菌学检查以资比较,结果,有43例的细菌相同(97.7%)。据上述所见作者们发现成人急件化脓性中耳炎检出的菌株与儿童有差异。原在婴幼儿童急性中耳炎中流感嗜血杆菌的检出率高而被认为是一种主要的病原菌,本文却以肺炎链球菌的检出率最高,尤其是Ⅲ型菌,检出率占
The authors conducted a bacteriological study of 88 adult acute suppurative otitis media between 1979 and 1983. The patient’s age is 16 to 79 years old. Among the 56 cases, the tympanic membrane was punctured and the aspirated material was used for bacterial culture on the first examination. According to the severe earache and tympanic membrane swelling, the remaining 32 cases were caused by tympanic membrane perforation, Cultivate, and pay attention not to touch the external auditory canal. Results 96 strains of bacteria were isolated, mainly including 62.5% of Streptococcus pneumoniae, 10.5% of Haemophilus influenzae, 11.5% of Staphylococcus aureus and 7.3% of Streptococcus pyogenes; no growth of anaerobic bacteria. Forty-four patients also took nasopharyngeal secretions for comparison with the bacterial specimens obtained from the middle ear specimens. As a result, 43 (97.7%) had the same bacteria. According to the above findings, the authors found that adult strains of suppurative otitis media detected strains of children and children are different. The original detection rate of Haemophilus influenzae in acute infant otitis media is considered to be a major pathogen. However, the detection rate of S. pneumoniae is the highest in this paper, especially for type Ⅲ, the detection rate is