急性中耳炎。急性化膿性中耳炎
WordNet
- of critical importance and consequence; "an acute (or critical) lack of research funds"
- having or demonstrating ability to recognize or draw fine distinctions; "an acute observer of politics and politicians"; "incisive comments"; "icy knifelike reasoning"; "as sharp and incisive as the stroke of a fang"; "penetrating insight"; "frequent penetrative observations" (同)discriminating, incisive, keen, knifelike, penetrating, penetrative, piercing, sharp
- extremely sharp or intense; "acute pain"; "felt acute annoyance"; "intense itching and burning" (同)intense
- having or experiencing a rapid onset and short but severe course; "acute appendicitis"; "the acute phase of the illness"; "acute patients"
- of an angle; less than 90 degrees
- relating to or characterized by suppuration
- inflammation of the inner ear
PrepTutorEJDIC
- (先の)『鋭い』,とがった / (痛み・感情などが)『激しい』,強い / (知力・感覚などが)『鋭い』,鋭敏な / (事態が)重大な / (病気が)急性の / (音が)高い,鋭い / 鋭角の
UpToDate Contents
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English Journal
- [Therapeutic effects of cefmenoxime in the treatment of various infections on infants and children].
- Kurashige T, Wakiguchi H, Kitamura I, Ozaki H, Nishibayashi Y, Hamawaki M.
- The Japanese journal of antibiotics.Jpn J Antibiot.1982 Nov;35(11):2579-88.
- The therapeutic effects of cefmenoxime (CMX), a new synthetic cephalosporin antibiotic, were examined in the treatment of various pediatric infections. Patients treated were infants and children ranging from one-month-old to 13-year-old suffering from pharyngitis in 2 cases, bronchopneumonia in 3 ca
- PMID 6302339
- [Experience in use of amoxicillin tablets for treatment of cases mostly of acute tympanitis (author's transl)].
- Nanjo S.
- The Japanese journal of antibiotics.Jpn J Antibiot.1978 May;31(5):283-6.
- Amoxicillin tablets (50 mg (potency)/tablet) were administered to 14 cases of acute tympanitis and one case of acute tonsillitis, and the following results were obtained. (1) Of 15 cases in total, 3 cases were remarkably improved, 11 improved, and one not improved; that is, the effective rate was 93
- PMID 660934
- [Clinical experience with amoxicillin in otorhinolaryngology (author's transl)].
- Azuma F.
- The Japanese journal of antibiotics.Jpn J Antibiot.1976 Feb;29(2):197-200.
- This paper reports the clinical trial of amoxicillin. (1) A daily dose of 750 approximately 1,000 mg of amoxicillin was orally administered for 3 approximately 12 days to 20 patients, 7 of which were with acute suppurative tympanitis, 3 with furuncle of the ear, 2 with furuncle of the nose and 8 wit
- PMID 1263345
Japanese Journal
- 感音難聴を来した成人急性化膿性中耳炎31例・36耳の検討
- 化膿性中耳炎および急性びまん性外耳炎におけるLomefloxacin(NY‐198)耳用液の臨床効果について
- 小児各種感染症に対するCefmenoximeの治療効果
Related Links
- Otitis Media (Acute Suppurative Tympanitis) 中耳炎とは中耳腔に起こる様々な障害によって生じる炎症の総称で、発症様式、あるいは病態によって細かく分類され、治療法もそれぞれ異なります。しかし、いずれも中耳伝音障害を 起こす ...
- Only treatment suppurative otitis media!!! The following use google translate, if unknown, please forgive me!Since our medicine 2002 networking has cured thousands of patients in China the. No ...
★リンクテーブル★
[★]
- 英
- acute otitis media, AOM
- ラ
- otitis media acuta
- 同
- 急性化膿性中耳炎 acute suppurative tympanitis
- 関
- 中耳炎
診断
- 1. 急性の発症
- 2. 中耳貯留液の存在(鼓膜の膨隆, 鼓膜の可動制限, 水疱形成, 耳漏)
- 3. 中耳炎症所見と症状(鼓膜の明らかな発赤または耳痛)
- 1-3をすべて満足する場合確定例、その他不確定例とする
重症度
- 米国小児科学会ガイドライン「急性中耳炎の診断と治療」
- 非重症:軽い耳痛かつ 24 時間以内の発熱が<39℃
- 重症:中等度~重度の耳痛あるいは≧39℃の発熱
治療
米国のガイドラインによる抗生剤の適応
- 米国小児科学会ガイドライン「急性中耳炎の診断と治療」
|
不確定例
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確定例
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非重症
|
重症
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非重症
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重症
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6ヵ月未満
|
antibiotics
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antibiotics
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antibiotics
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antibiotics
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6~24ヵ月
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no
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antibiotics
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antibiotics
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antibiotics
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2歳以上
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no
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no
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no
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antibiotics
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薬剤と治療期間
- 米国小児科学会ガイドライン「急性中耳炎の診断と治療」
重症度
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初期治療
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初期治療無効時
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投与期間
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非重症
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AMPC 80~90 mg/kg/日
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AMPC/CVA 14:1 90mg/kg/日
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重症
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AMPC/CVA 14:1 90 mg/kg/日
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CTRX 50mg/kg/日 3 日間
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2歳以上非重症:5~7 日間
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参考
- 1. 小児急性中耳炎診療ガイドライン 長崎大学大学院医歯薬学総合研究科耳鼻咽喉・頭頸部外科学領域 高橋晴雄
- http://www.k3.dion.ne.jp/~i-sibasi/2010.4.2aom.pdf
- http://www20.big.or.jp/~ent/topics/chuujien/chuujienjijou.html
国試
[★]
- (疾患)急性の、急性型の、急性的な。(形状が)鋭い、鋭角の。(感覚、才知などが)鋭い。明敏な、鋭い眼識のある。
- 関
- acutely、quick、sharp
[★]
- 関
- (vi.)suppurate, (n.)suppuration
- purulence, purulent, pyogenes, pyogenic,