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Viêm Tai Giữa Cấp  

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12:12 02/12/2012

Thường bị viêm tai giữa cấp sau viêm mũi họng, viêm VA, viêm amidan, viêm mũi dị ứng. [..]

 Viêm tai giữa

TRIỆU CHỨNG

Trẻ thường sốt cao 39 - 40 độ.

Người mệt mỏi, kém ăn, quấy khóc.

Than đau tai, ở trẻ nhỏ thường khóc lấy tay gãi hay cào lên tai.

Nội soi phát hiện màng nhĩ đỏ, căng phồng, có trường hợp phồng kiểu 'vú bò'

Chảy mủ tai do màng nhĩ bị thủng, sau khi màng nhĩ thủng trẻ bớt sốt, bớt đau tai.

 

CHẨN ĐOÁN

Khám lâm sàng: viêm mũi họng VA. Sốt cao. Than đạu tai.

Nội soi: màng nhĩ xung huyết, màng nhĩ phồng

ĐIỀU TRỊ

Điều trị nội khoa với kháng sinh, kháng viêm, giảm đau, chống dị ứng, an thần. Trường hợp màng nhĩ phồng kiểu vú bò nên chích rạch màng nhĩ. Những bé có VA nên nạo VA cho trẻ sau khi điều trị ổn định 1-2 tuần.

BIẾN CHỨNG

Viêm tai giữa thanh dịch.

Viêm tai giữa mãn tính màng nhĩ thủng. Nếu không được điều trị sẽ viêm tai xương chũm.

Giảm thính lực: ngày càng tăng theo thời gian.

Biến chứng nội sọ: viêm màng não, viêm não, áp xe não do tai. Nếu không được điều trị tích cực, bệnh nhân tử vong.

Chú ý : Nếu bạn có thắc mắc về các vấn đề liên quan đến các dấu hiệu của viêm tai giữa hãy gọi đến  tổng đài tư vấn sức khỏe  1900.6180 để nhận được sự tư vấn cụ thể.

BS. Đoàn Hằng (TH Taimuihongsg) 


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