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急性中耳炎(AOM)是病毒性上呼吸道感染最常见并发症,90%以上AOM病儿有鼻炎、咳嗽等上呼吸道感染症状;75%患儿出现上呼吸道症状2～3天鼓室压图异常。常见病毒有呼吸道合胞病毒(RSV)、鼻病毒、流感病毒及腺病毒。Klein等检测663份病人的中耳渗液(MEF),29份(4%)分离出病毒,多为RSV(22/29)。有人在363例AOM病人,分离鼻病毒阳性率占24%;在143例中占8%;在482份标本中占6%;但常合并细菌感染,故治疗中应以抗生素为主。RSV阳性的AOM患者出现高体温,常比鼻病毒感染者多见。有人对58例抗生素治疗
Acute otitis media (AOM) is the most common complication of viral upper respiratory tract infection, more than 90% of AOM sick children have rhinitis, cough and other upper respiratory tract infection symptoms; 75% of children with upper respiratory symptoms 2 to 3 days tympanogram abnormalities. Common viruses are respiratory syncytial virus (RSV), rhinovirus, influenza virus and adenovirus. Klein and other 663 patients were detected in the middle ear effusion (MEF), 29 (4%) isolated virus, mostly RSV (22/29). Some people in 363 cases of AOM patients, rhinovirus positive rate of 24%; in 143 cases accounted for 8%; 482 specimens in 6%; but often associated with bacterial infection, it should be treated mainly antibiotics. RSV positive AOM patients with high body temperature, often more common than rhinovirus infection. Some 58 cases of antibiotic treatment