For the tympanic membrane swelling is more significant, if at the same time combined with diffuse hemorrhage, outward expansion, the normal signs are difficult to recognize, is the sign of acute suppurative otitis media, indicating that the middle ear cavity is quite a lot of pus, the condition is more serious, should be timely use of antibiotics to control the infection. If the inflammation cannot be effectively controlled, it may develop into tympanic membrane perforation. As the tympanic membrane perforation will be relatively small at the beginning, it is not easy to see, and after thorough cleaning of the external auditory canal, fluctuating bright spots can be seen at the tympanic membrane perforation, which is actually the process of pus gradually gushing out. It is best to be able to send the pus to bacterial culture and drug sensitivity test, according to the results of the test to change the most sensitive class of antibiotics, generally used in about ten days, pay attention to rest. If the systemic symptoms are more serious, appropriate rehydration. For the drug treatment after no significant reduction, or perforation smaller drainage is not smooth, should be early in sterile conditions to do tympanotomy, in order to facilitate the smooth flow of pus.