CAJ | 학술논문

目的：通过对50例儿童分泌性中耳炎漏诊的原因进行分析，提高对此病的了解与认识，减少诊断中的失误与错漏。方法随机抽取东莞市人民医院50例患有儿童分泌性中耳炎（61耳）在首诊或多次诊治中出现的漏诊情况，对临床症状表现、资料进行分析，研究导致漏诊的原因。结果50例（61耳）患有儿童分泌性中耳炎的患儿被误诊或漏诊，经过再次的询问以及重新进行系统检查，50例（61耳）患儿重新被确诊为分泌性中耳炎，再经过对此症状进行药物以及穿刺冲洗等治疗后，50例患儿全部治愈。结论应通过全面问询以及临床检查对儿童分泌性中耳炎做出准确诊断，减少临床漏诊现象的发生。
목적：통과대50례인동분비성중이염루진적원인진행분석，제고대차병적료해여인식，감소진단중적실오여착루。방법수궤추취동완시인민의원50례환유인동분비성중이염（61이）재수진혹다차진치중출현적루진정황，대림상증상표현、자료진행분석，연구도치루진적원인。결과50례（61이）환유인동분비성중이염적환인피오진혹루진，경과재차적순문이급중신진행계통검사，50례（61이）환인중신피학진위분비성중이염，재경과대차증상진행약물이급천자충세등치료후，50례환인전부치유。결론응통과전면문순이급림상검사대인동분비성중이염주출준학진단，감소림상루진현상적발생。
Objective Through analysis of the reasons of misdiagnosis on 50 cases of pediatric secretory media otitis, to improve the understanding of such diseases in children, to reduce mistakes of diagnosis and any errors. Methods 50 cases with pediatric secretory media otitis (61 ears) misdiagnosed ifrst, or been made the discorrect diagnosis many times, were randomly studied. The clinical symptoms were analyzed. Results 50 cases (61 ears) with pediatric secretory media otitis misdiagnosed ifrst were diagnosed ifnally after asking timely, system examine, and were cured after treatment with drugs and puncture lfushing. Conclusion Comprehensive information and clinical examination on children with secretory media otitis lead to give an accurate diagnosis, reduce the misdiagnosis.