l**********e
发帖数: 382 | 1 帮朋友问一下: 4岁小孩感冒,抓耳朵,无发热,耳朵无脓,无明显疼痛, 在国内的一线城
市儿童医院诊断为中耳炎. 但诊断是通过仪器测量出来的. 在美国, 没听说儿医要用什
末仪器测中耳,可能我比较土,以为外观以及鼓膜的movement 结合病史诊断,看来国内在
这方面更先进了.
再说开的药,一大堆: 滴耳液止痛(没问题),口服头孢噻亏(为什末不用amoxillin, isn'
t it DOC?), 滴鼻液ribavirin and amikacin (is amikacin ototoxic? why use here
?) 最后还给了pidotimod (is it necessary?)
朋友比较怀疑医生为赚钱乱开药, 请教一下各位上述药哪些该用,哪些不用. 谢谢 | r*****2
发帖数: 309 | 2 In US, the new guideline is that if >2 years just with otalgia without fever
and well appearing child, no antibiotics. Follow up in 48 hours. If otalgia
resolve, then no more issue. If still persist, treat with OM with high dose
amoxicillin 80-90 mg/kg x 10 days. Sometimes ear wax (cerumen) can also
cause otalgia, ear drop (ciprodex or simple thing like hydrogen peroxide)
can be given. |
|
