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小児(子ども)の滲出性中耳炎(otitismedia with effusion ) …

In 2012.. otitis media with effusion .. z OME 20% AOM . OME . 1 % . z Prednisolone 1 2mg/kg 7 14 AMPC . ST .. z .. z .. otitis media with effusion ( OME). z .. * .. z . z self limited 3 50 80% .. z OME . OME . OME .. 1 8 .. 3 .. A .. C .. B .. 1. z . OME 3 . z .. z 125 84 41 . z H 19 4 H 23 3 . z 78 6 3 12 . z 7 5. 3 24 . z OAE Refer . 20dB . 2. z PLS 2mg/kg max 60mg 5 . AZM 10mg/kg max 500mg 3 .. 2 . H2 10 . z 1 2 4 2 3 4 .. z type A type C .. vs vs vs vs vs vs generalized Wilcoxon test .. z .. z . Cox . z 2 70 64 91% .. Schwartz PLS 1mg/kg 5 1 .. 1980 sulfisoxazole 50 mg/kg 7 70%. Berman PLS 1 2mg/kg 7 2 .. 1990 ST 10mg/kg 30 77%. Hemlin Betamethasone 6mg 10 2-3 6 . 1997 CFIX 8mg/kg 10 44% 12%. Mandel PLS 1mg/kg 10 + 4 2 4 . 2002 AMPC 40mg/kg 14 33% 10%.

z滲出性中耳炎(ome)は小児科受診者の20%程度みられ,急性中耳炎(aom) より頻度の高い疾患である。難聴を伴うomeの治療は鼓膜チューブ挿入が 一般的であるが,鼓膜穿孔の残存などの合併症も15%程度に …

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