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耳朵流水应该怎么办?

来源:华人健康网 | 发布时间:2011-01-10 13:56:58 | www.chinesejk.com

耳朵流水系指耳道有液体积聚或流出,故称为耳溢液或耳漏。

按流出液体的性状可有:

(1)油脂状的。油脂性盯,俗称油耳朵。

(2)水样的。耳道湿疹溢液呈现黄色,大疱性鼓膜炎破裂呈血性水,单纯性中耳炎多为腥味的粘脓,胆脂瘤性中耳炎为臭脓。

(3)脓血性的。有中耳癌肿的臭脓血,肉牙性中耳炎的血脓,外伤引鲜血流出。

耳流水仅是多种耳病的不同表现,必须根据病有无耳痛,痒,听力障碍,病程长短,溢液的性质,有无面瘫,结合专科检查所见,X线,CT扫描确定病变部位(外耳,中耳或内耳)和性质,予以对因治疗:

(1)炎症以抗炎为主,如3%双氧水洗耳,2.5%氯素滴耳液或0.3%氧氟沙星滴耳液作耳溶治疗,急性者尚需全身应用抗菌素;

(2)外伤引起的,外耳裂伤应予缝合,伴有颞骨骨折颅脑操损伤作者宜请神经外科协同处理,脑脊液漏者不作耳道填塞;

(3)肉牙型,胆脂瘤型中耳炎,中耳癌以手术治疗为主;

(4)湿疹感染除用抗菌药物外,同时应用抗过敏药物治疗,如口服抗组织胺药物;

(5)呈团块盯阻塞耳道者,可剔除或先用3%小苏打溶液滴耳软化,3天后作耳道冲洗排出。

(编辑:小米 )

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