Otoscopy for the diagnosis of otitis media
Otoscopy for the diagnosis of otitis media
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DOI：
10.1097/00006454-199806000-00032
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发表时间：
1998-06-01
影响因子：
3.6
通讯作者：
Pelton, SI
中科院分区：
文献类型：
--
作者：
Pelton, SI
急性中耳炎(AOM)的诊断既不容易也不简单。上呼吸道疾病的体征和症状与AOM重叠。患有这两种疾病的儿童经常会出现发烧、易怒和睡眠障碍。即使是耳痛，这是区分儿童中耳炎和上呼吸道疾病的最可靠的症状，在2岁的儿童中的价值也是有限的。鼓膜鼓膜(TM)肿胀或穿孔并耳漏是报告的迹象，在10个国家的普通医生中提供AOM的诊断确定性。1其他体征，如红斑，是主观的，与较低的诊断确定性水平有关。
The diagnosis of acute otitis media (AOM) is neither easy nor straightforward. Signs and symptoms of upper respiratory illness overlap with AOM. Fever, irritability and sleep disruption can be found frequently in children with both conditions. Even earache, which is the most reliable symptom for differentiating children with otitis media from those with upper respiratory illness, is limited in value in children< 2 years old.A bulging tympanic membrane (TM) or perforation with otorrhea were the signs reported to provide diagnostic certainty of AOM among general practitioners in 10 countries. 1 Other signs, such as erythema, were subjective and associated with lower levels of diagnostic certainty.