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自制耳塞管高负压吸引药物灌洗治疗慢性中耳炎山西医学院第二附属医院（０３０００１）马敏，李西秦，赵海亮１９９１年１月～１９９２年４月应用自制耳塞管高负压吸引＋药物灌洗法治疗慢性化脓性中耳炎３５例（４６耳），获得满意的疗效，现报道如下：临床资料本组３５例（４６耳）中男１９例（２８例），女１６例（１８耳）；年龄最小６个月，最大５６岁；左侧２０耳，右侧２６耳；病程最短３个月，最长３０多年；单纯型中耳炎３３例（４４耳）；上鼓室胆脂瘤型中耳炎２例（２耳）；随访最短一个半月，最长１８个月。治愈标准：高负压吸引无任何分泌物吸出，一个月后复查仍保持干耳。病例选择：单纯型慢性化脓性中耳炎，上鼓室胆脂瘤型中耳炎。器械：普通电动吸引器一台，自制耳塞管数个，吸引管一个、静脉注射用玻璃接管一支，鼓气耳镜一套，去掉袖带的血压计一台。耳塞管制作法：取直径一厘米铜管的６～７厘米长，远端作圆锥体，近端焊一注射器针接口。治疗方法：每周患者到医院灌洗二次，间隔期间自己滴药，每天三次。①高负压吸引：患者取坐位，先用玻璃接管将耳塞管与吸引器连在一起，再将耳塞置于外耳道口，使之与外耳道壁紧贴，密闭外耳道；开动吸引器，调整负压于５３．２～６６．５ｋＰａ之
Homemade earplugs high suction to attract drug lavage treatment of chronic otitis media Second Affiliated Hospital of Shanxi Medical University (030001) Ma Min, Li Xi Qin, Zhao Hailiang January 1991 ~ April 1992 application of self-made earplugs suction + drug lavage Treatment of chronic suppurative otitis media in 35 cases (46 ears), to obtain satisfactory curative effect, are reported as follows: Clinical data of 35 patients (46 ears) in this group, 19 males (28 cases), 16 females (18 ears) Minimum 6 months, maximum 56 years old; left 20 ears, right 26 ears; duration of the shortest 3 months, up to 30 years; 33 cases of simple otitis media (44 ears); tympanic cholesteatoma otitis media in 2 cases 2 ears); the shortest one and a half months, up to 18 months. Healing standards: High vacuum to attract without any aspiration, a month after the review still remain dry ears. Case selection: Simple chronic suppurative otitis media, tympanosarcoma cholesteatoma otitis media. Instruments: a common electric suction device, a few homemade earplugs, a suction tube, a glass tube for intravenous injection, a set of breath otoscope, remove the cuff sphygmomanometer. Earplugs production method: take a centimeter diameter copper tube 6 to 7 cm long, the distal end of the cone, the proximal end of a syringe needle welding interface. Treatment: Weekly patients to the hospital twice a lavage, drip during their own three times a day. ① high negative pressure to attract: the patient take the seat, the first glass take over the earplug tube and the suction device together, then the earplugs placed in the external auditory canal, make it close to the external auditory meatus, the external auditory canal; start suction, adjust the negative pressure At 53.2 ~ 66.5kPa