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对86例成人分泌性中耳炎患者的中耳积液行涂片检查、细菌培养和鲎血试验，结果表明，分泌性中耳炎中耳腔中细菌和内毒素的存在是中耳积液发生或使积液迁延不愈的重要原因之一；内毒素检出率高于细菌分离率与抗生素的使用密切相关。提示用抗生素治疗分泌性中耳炎对中耳积液的消退有积极意义。
86 cases of adult otitis media in patients with middle ear effusion smear examination, bacterial culture and hematemesis test showed that the presence of bacteria and endotoxin in the middle ear cavity of secretory otitis media is the occurrence of middle ear effusion or to make Fluid delay unhealed one of the important reasons; endotoxin detection rate is higher than the bacterial isolation rate is closely related with the use of antibiotics. Tip antibiotic treatment of secretory otitis media effusion on the middle ear has positive significance.