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首页> 外文期刊>The American journal of otology >The management of chronic suppurative otitis media with acid media solution.
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The management of chronic suppurative otitis media with acid media solution.

机译:用酸性介质溶液治疗慢性化脓性中耳炎。

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An organism must maintain a fairly constant balance of pH to survive. Most bacteria grow the best in a narrow range of pH from 6.5 to 7.5. Ninety-six patients with chronic suppurative otitis media were selected. Two weeks before the treatment they were instructed to stop taking any antibiotics; then a sterile swab culture was taken from auditory canal secretions and at the same time the pH of the secretions were measured. Otomicroscopic examination of the ear with cleaning of purulent debris was done. All patients received ear irrigation with 2% acetic acid solution three times per week for the maximum of 3 weeks without antibiotic therapy. Any patients with cholesteatoma, polyp, granulation and otomycosis were excluded. Patients were followed for up to 3 years. Fifty-five patients (57%) had resolution of their original otorrhen, whereas 19 patients (20%) developed healed ear drum perforation. The remaining 14 patients (15%) showed recurrence and 8 of them (8%) had no response to the treatment.
机译:有机体必须维持相当恒定的pH平衡才能生存。大多数细菌在6.5至7.5的较窄pH范围内生长最佳。选择了96例慢性化脓性中耳炎患者。治疗前两周,他们被要求停止服用任何抗生素;然后从耳道分泌物中取出无菌拭子培养物,并同时测量分泌物的pH值。耳镜检查,清洁脓性碎屑。所有患者每周接受3次含2%乙酸溶液的耳冲洗,最多3周,未经抗生素治疗。排除任何患有胆脂瘤,息肉,肉芽肿和卵菌病的患者。对患者进行了长达3年的随访。五十五名患者(57%)的原发性耳泻得以缓解,而十九名患者(20%)的耳鼓穿孔已愈合。其余14例(15%)复发,其中8例(8%)对治疗无反应。

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