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分泌性中耳炎(SOM)如无继发性感染,很少发生鼓膜穿孔,约75%的病例可以自愈。对渗出液不能自行吸收者,可作鼓膜切开术或经鼓膜切开插入通气管,内科疗法的效果值得怀疑。无感染的SOM,很少见到鼓膜向外膨隆,其原因可能为:(1)渗出液停止或(2)虽有渗出但引流通畅,可能因咽鼓管功能恢复正常或中耳腔有一定的压力,也可能两者兼而有
Secretory otitis media (SOM) In the absence of secondary infections, minimal perforation of the tympanic membrane occurs and about 75% of cases self-heal. Exudate can not be absorbed by those who can be used for tympanotomy or tympanotomy inserted into the ventilation tube, the effect of medical therapy is questionable. Infected SOM, rarely bulging out of the tympanic membrane, which may be due to: (1) exudate stopped or (2) although exudate drainage but patency may be due to Eustachian tube function returned to normal or middle ear cavity There is some pressure, it may be both