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【单选题】
患者,男,25岁,1日前突发高热,伴胸痛、咳嗽,黄色脓性痰,左耳痛及咽痛明显,未作特殊处理。查体:T37.8℃,肺部听诊胸骨两侧可闻及水泡音,专科检查:咽部充血严重,电耳镜检查示左耳鼓膜膨出,紧张部周边可见呈放射状的扩张血管,鼓区压痛明显,纯音听阈45dBHL,血常规示WBC总数增高。根据患者病情,除尽早应用足量抗菌药物控制感染外,还应适时行鼓膜切开术,以下说法正确的是()
A.
鼓膜切开术后待炎症消退,大多数患者鼓膜切口至少需要2~3封闭,且多伴瘢痕形成和粘连
B.
鼓膜紧张部大穿孔为鼓膜切开术的适应证之一
C.
若患者鼓膜已穿孔,外耳道可见大量黄色脓液,从鼓膜穿孔处排出,仍需行鼓膜切开术
D.
全身及局部症状较重,鼓膜明显膨出,虽经治疗无明显好转者,此时鼓膜切开术
E.
以上都不对
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