耳痛

昵称535749 2012-11-08

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Definition

定义

Pain or discomfort in or around the ear

耳朵内外疼痛或者有不适感

Child reports an earache

儿童哭诉耳夺有痛感

Younger child acts like he did with previous ear infection (e.g., crying or fussy)

小孩子的行为跟前耳朵感染的症状类似（例如，大声哭或者头晕）

Cause

病因

Usually due to an ear infection

通常是由于耳朵感染引起的

Ear infections can be caused by viruses or bacteria. Usually, your child’s doctor can tell the difference by looking at the eardrum.

病毒或者细菌会导致耳朵感染。一般医生检查耳膜后就能告诉你它们的区别。

Ear infections peak at age 6 months to 2 years

耳朵发炎的高峰期是6个月大到2岁

The onset of ear infections peaks on day 3 of a cold

感冒后3天也是耳朵发炎的高峰期

Return to School

坚持去学校

An earache or ear infection is not contagious. No need to miss any school or child care.

耳痛或者耳朵发炎不会传染，所以没必要向学校或者儿童保育院请假。

See More Appropriate Topic (instead of this one) If

如果有需要，就阅读下面更多有价值的话题

Ear congestion but no pain, see EAR CONGESTION

耳朵充血但是无痛感，阅读耳朵充血的详情

Due to airplane or mountain travel, see EAR CONGESTION

由于乘飞机或者爬山引起的耳朵问题，阅读耳朵充血的详情

Ear discomfort follows lots of swimming, see EAR - SWIMMER'S

游泳后耳朵不适，阅读游泳者遇到的耳朵问题

When To Call

何时打电话求救

Call 911 Now (your child may need an ambulance) If

如果有必要（孩子需要救护车时），现在就拨打911

Not moving or very weak

不要等到孩子不能动或者非常虚弱的时候，才打911

Call Your Doctor Now (night or day) If

遇到这些情况，就打电话叫医生（不管是白天还是晚上）

Your child looks or acts very sick

孩子看起来很难受了或者的确生病了

Earache is severe and not improved 2 hours after taking ibuprofen

耳痛很严重，服用布洛芬2小时后，耳痛依然没有缓解

Pink or red swelling behind the ear

耳后有粉红或者红色的肿胀

Stiff neck (can't touch chin to chest)

脖子僵硬（从下巴到胸部都敢碰）

Pointed object was inserted into the ear canal (e.g., a pencil, stick or wire)

带有点状的物体塞入耳道（例如，铅笔、小棒或者金属丝）

Weak immune system (sickle cell disease, HIV, chemotherapy, organ transplant, chronic steroids, etc)

抵抗力差（如链状细胞疾病、艾滋病、化疗、器官移植和慢性类固醇病等等）

Fever over 104° F (40° C) and not improved 2 hours after fever medicine

发热超过40° C，服退烧药2小时后症状未减

You think your child needs to be seen urgently

其他你认为孩子需要马上看医生的症状

Call Your Doctor Within 24 Hours (between 9 am and 4 pm) If

有下列状况在24小时内（上午9:00到下午4:00）给医生打电话

Earache, but none of the symptoms described above (Reason: possible ear infection)

耳痛但是没有上面所说的症状（原因可能是耳朵发炎）

Pus or cloudy discharge from ear canal

耳道内有脓或者浑浊的液体

Care Advice

护理建议

Home Care Advice for Suspected Ear Infection (until you talk with your doctor)

疑似耳朵发炎的家庭护理（直到跟医生面对面交流，你才能确定自己的判断）

Reassurance:

毫无差池的做法

Your child may have an ear infection. The only way to be sure is to examine the eardrum.

孩子可能是耳朵发炎，确诊的唯一途径就是检查耳膜

Diagnosis and treatment can safely wait until morning if the earache begins after your child's doctor's office is closed.

如果医生看诊结束后孩子出现了耳痛，等天亮后再诊断和治疗，不会有什么危险。

Ear pain can be controlled with pain medicine and eardrops.

止痛药物和耳药水可以止痛

Pain Medicine: Give acetaminophen (e.g., Tylenol) or ibuprofen for pain relief or for fever above 102° F (39° C).

止痛药物：缓解疼痛或者发烧39° C时，服用扑热息痛（例如，泰诺）或者布洛芬

Local Cold: Apply a cold pack or a cold wet wash cloth to the outer ear for 20 minutes to reduce pain while the pain medicine takes effect. (Note: Some children prefer local heat for 20 minutes.)

局部发热：用凉布或者既湿又凉的布片在耳外敷20分钟缓解疼痛，这种方法能达到服用止痛药物的效果。（注意：有些孩子的身体可能偏向局部发热20分钟）

Ear Drainage:

耳朵清理：

If pus or cloudy fluid is draining from the ear canal, the eardrum has ruptured from an ear infection.

如果脓液或者浑浊的液体从耳道流出，说明耳膜因为发炎而破裂

Wipe the pus away as it appears.

一旦脓液流出就擦拭干净。

Avoid plugging with cotton (Reason: Retained pus causes irritation or infection of the ear canal).

不要用棉花塞住耳道（理由：脓液回注会导致耳道发炎或疼痛）。

Eardrops: 3 drops of plain olive oil (or prescription eardrops) will usually relieve pain not helped by pain medicine. If your child has ear tubes or a hole in the eardrum, don't use them.

耳滴剂：3滴普通的橄榄油（或者处方耳滴剂）通常就能缓解疼痛。如果孩子的耳朵中放置着耳管或者耳膜上有孔，就不要用耳滴剂。

Contagiousness: Ear infections are not contagious.

有无感染性：耳朵炎症不会传染。

Call Your Doctor If:

有下列情况，请给医生打电话：

Your child develops severe pain

孩子有剧烈的痛感

Your child becomes worse

孩子的症状更加严重

Disclaimer: This information is not intended to be a substitute for professional medical advice. It is provided for educational purposes only. You assume full responsibility for how you choose to use this information. For more information, click here.

声明：这些信息不能代替专业的医学建议，只是出于教育目的。对于如何使用这些信息，你自已要承担全部责任。