婴儿外耳湿疹 Baby ear eczema

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外耳湿疹是哺乳期婴幼儿最常见的疾病,婴幼儿几乎都轻重不同地患过次病,而且在某些热病后或某些诱因下(如腹泻后)发病或加重。常与过敏体质和人工喂养某些乳制品有关。可为全身湿疹的一部分,也可于外耳某个固定部位反复发作。此外,外耳道脓性分泌物或某些外用药液对局部的刺激以及泪水、汗液、肥皂水等对局部的浸渍均可造成此病。疾病好发于双耳廓,耳后沟及外耳道。临床表现为耳痒、有目标不准确的搔抓行为,甚至瘙痒难忍,烦躁不安而夜哭,外耳道流黄水,结成松香状半透明痂皮,局部可有脱屑、丘疹、水泡、红肿、糜烂,感染后可出现脓庖、红肿、溃疡,甚至狭窄。 

【家庭自我观察要点】

1、哺乳期婴幼儿耳流黄水,外耳道内可见松香状半透明痂皮,局部可有潮湿,水泡,红肿,糜

2、不明原因摇头,搔耳,烦躁不安,夜哭。 

3、用手摸耳,患儿可停止哭吵。 

【治疗方法】

1、积极寻找病因,予以排除或治疗。 

2、全身可用抗变态反应药(中西药均可),,有感染者用抗感染药。 

3、局部用3%双氯水洗耳拭净后用锌氧油涂布,有红肿者加用鱼石脂棉栓。 

4、中药治疗,去热利湿,止氧,如小儿清热液(金银花露)等,可口服,外用。

Ear lactating infant eczema is the most common diseases, almost all infants suffered from the severity of different times to disease, and in some fever after or under certain incentives (such as diarrhea) onset or worsening. Often associated with allergies and certain dairy products for artificial feeding. Eczema can be a part of the body, is also available on a fixed part of recurrent ear. In addition, some of the external auditory canal purulent secretions or topical liquid for local stimulation and tears, sweat, soap and so on may be caused by partial immersion disease. Diseases occur in pairs ear, ear and ear canal ditch. Clinical manifestations of itching of the ear, targeted inaccurate scratching behavior, and even itching, irritability and crying in the night, yellow water flow canal, forming rosin-like translucent crust, local may have scaling, papules, vesicles, swelling, erosion, herpes infection can occur after pus, swelling, ulcers, and even narrow.

[Family self-observation point]

1, lactation yellow water flow infant ear, ear canal visible rosin-like translucent crusts, locally there are wet, blisters, swelling, erosion.

2, unexplained shaking his head, scratching the ear, irritability, crying in the night.

3, touch the ear, stop crying children can be noisy.

[Treatment]

An active search for a cause, be excluded or treated.

2, the body can antiallergic drugs (Western medicine can be), there are infected with anti-infectives.

3, 3% diclofenac sodium topical ear scrubbed after washing the oil with zinc oxide coating, swelling were added with ichthyol cotton plug.

4, traditional Chinese medicine, to the heat and dampness, only oxygen, such as pediatric heat fluid (honeysuckle), etc., can be taken orally, topically.



扶蘇中醫五官科‧疼痛科
FUSU SPECIALTY CLINIC
電話:408-455-4885
地址:505 W. Olive Ave., #425, Sunnyvale, CA94086
網址:www.fususpecial.com

(編輯 Walia)

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