中耳炎是指中耳炎.
Maroeska M Rovers1, Anne G M Schilder, Gerhard A Zielhuis
1Julius Centre for Health Sciences and Primary Care, University Medical Centre, PO Box 85060, 3508 AB, Utrecht, Netherlands. MRovers@umcutrecht.nl
Lancet (London, England)
|February 14, 2004
概括
中耳炎 (OM),一个常见的儿童感染,有复杂的原因. 虽然观察和抗生素是可选的,但由于缺乏这种情况的理想干预措施,需要新的治疗方法.
科学领域:
- 儿科 儿科 儿科
- 传染性疾病 传染性疾病
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 中耳炎 (OM) 是一种常见的儿童感染,导致显著的发病率.
- OM的发病是多因素的,涉及免疫反应,尤斯塔基管功能,微生物因素和遗传学.
研究的目的:
- 审查当前对儿童中耳炎的管理策略.
- 突出了对OM新型治疗方法的需要.
主要方法:
- 审查关于中耳炎诊断和治疗的现有文献.
- 分析影响治疗决策的因素,包括观察,抗生素和手术.
主要成果:
- 对于一些OM儿童来说,如果确保随访,初步观察是可行的.
- 建议在2岁以下的儿童急性OM时使用抗生素.
- 手术候选人包括评估症状,发育风险和溢出解决潜力.
结论:
- 目前的手术方法包括 tympanostomy 管放置和腺切除术.
- 对OM缺乏理想的干预措施,需要研究新的选择.
- 对OM病理生理学的进一步探索对于开发创新的治疗方法至关重要.
相关概念视频
The Cochlea
The cochlea is a coiled structure in the inner ear that contains hair cells—the sensory receptors of the auditory system. Sound waves are transmitted to the cochlea by small bones attached to the eardrum called the ossicles, which vibrate the oval window that leads to the inner ear. This causes fluid in the chambers of the cochlea to move, vibrating the basilar membrane.
Teeth
The formation of teeth, also known as odontogenesis, is a complex process that begins in utero, around the sixth week of embryonic development. There are three stages to this process: the bud stage, the cap stage, and the bell stage.
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin and...
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin and...
Acute Pharyngitis
Introduction
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
Tonsillitis I: Introduction
Tonsillitis is inflammation of the tonsils, which are two lymphoid tissue masses at the back of the throat. This condition can cause discomfort and irritation in the throat.
Etiology
Three primary contributing factors have been identified.
Etiology
Three primary contributing factors have been identified.
Bacterial Meningitis
Bacterial meningitis is a severe infectious disease involving inflammation of the meninges, the protective membranes surrounding the brain and spinal cord. It occurs when pathogenic bacteria cross the blood–brain barrier and enter the cerebrospinal fluid. Common causative organisms include Neisseria meningitidis, Streptococcus pneumoniae, Haemophilus influenzae type b, Listeria monocytogenes, and Escherichia coli K1. The exact route of entry varies by pathogen and host condition.Routes of Entry...
Brain Abscess l: Introduction
A brain abscess is a focal, intracerebral infection characterized by a localized collection of pus within the brain parenchyma, resulting from microbial invasion and the body’s inflammatory response. It progresses through stages: early and late cerebritis, followed by early and late capsule formation, reflecting tissue destruction, immune response, and eventual encapsulation.Etiology and PathogenesisCausative organisms vary with source and host factors, often involving polymicrobial infections,...


