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儿科外耳炎:一个范围审查

Zuhaib A Khokhar1, John F Mills2, Shaun A Nguyen2

  • 1Cape Fear Valley Health System, Fayetteville, NC, USA.

The Annals of otology, rhinology, and laryngology
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PubMed
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在儿童中,死性外耳炎 (NOE) 通常影响那些有严重健康状况的人,与糖尿病是主要因素的成年人不同. 活检和培养对于指导儿科NOE治疗决策至关重要.

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外耳炎 (外耳炎) 的死亡.儿科 儿科 儿科 儿科头骨基础骨质炎的骨质炎.

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科学领域:

  • 耳鼻喉科 耳鼻喉科 耳鼻喉科
  • 儿童传染病 儿童传染病
  • 医学微生物学 医学微生物学

背景情况:

  • 外耳垂死性耳炎 (NOE) 是外耳道的严重感染.
  • 虽然在患有糖尿病的成年人中很常见,但在儿科患者中其特征不太清楚.
  • 目前的文献在完全描述儿科NOE方面存在局限性.

研究的目的:

  • 描述小儿外耳死性耳炎 (NOE).
  • 确定患有NOE的儿童的并发病,人口统计和结果.
  • 突出关于儿科NOE现有文献中的临床影响和局限性.

主要方法:

  • 进行了范围审查.
  • 在四个数据库 (科克伦图书馆,CINAHL,PubMed,Scopus) 搜索了1976年至2022年的英语文章.
  • 提取了关于儿童NOE病例的人口统计,并发症,治疗方法和结果的数据.

主要成果:

  • 包括20项研究 (N=439) 在内,患者平均年龄为10岁.
  • 糖尿病不太常见;免疫抑制和严重的健康状况是更普遍的并发症.
  • 没有报告死亡情况;注意到神经等并发症.

结论:

  • 儿科NOE不同于成人病例,不太重视糖尿病,更多地关注潜在的严重健康状况.
  • 活检和培养对于准确的诊断和有效的治疗计划在儿科NOE中至关重要.
  • 需要进一步的研究来解决关于儿科NOE的文献局限性.