蘇主任那本考古題阿 p23第67題 OME的後遺症 我在做共筆的時候有點弄錯了 答案應該是A 不過學長姐答案給D 其實A好像也會(UPTODATE)但是比較少 不知道我有沒有理解錯誤欸(現在處於想睡的狀態中) 麻煩大家再指正 eMEDICINE Since OME lacks the inflammation found in AOM, it has few complications. The most important complications and reasons for treatment are hearing loss and potential language development delay. However, persistent effusion provides an exceptional environment for the proliferation of bacteria. Therefore, RAOM with its potential complications is also a threat 林口耳鼻喉網頁 急性中耳炎如未予以適當治療，導致中耳腔長期發炎，常併發：傳導性聽力障礙 ﹝小孩子常表現學習能力 不佳，注意力不集中﹞、顏面神經麻痺、內耳迷路廔管、 內耳迷路發炎、腦膿瘍，腦膜炎等。 UPTODATE The most significant complication of OME is conductive hearing loss, as described above. If the tympanic membrane becomes severely retracted, forming a retraction pocket, a cholesteatoma can occur, either due to accumulation of squamous debris within the pocket with extension to the middle ear space, or primarily within the middle ear space. Cholesteatoma is the accumulation of desquamating epithelium or keratin within the middle ear, and in extreme cases may grow to envelop the ossicles and result in conductive hearing loss and destruction of the ossicular chain 還有阿 同一頁的48題 楊降PO的題目有一模一樣的答案是C 但是老師上課說是B(跟AOM一樣)，UPTODATE上面致病菌的部份雖然沒有寫比例 但是第一隻寫到的菌是B(S.P) 所以 我也不知道…… --

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