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在大多数急性上颌窦炎(AMS)细菌学研究中发现肺炎链球菌和流感嗜血杆菌是常见病原。后者在近10～20年中则成为主要病原。而以往的主要病原—化脓性链球菌则愈来愈少。某些研究提示Branhamella卡他球菌是AMS病原。近年来认为40％AMS是由厌氧菌所致。从而部分地说明相当部分AMS患者培养阴性的问题。本文选择经严格临床检查与窦腔吸出物培养后确诊的AMS患者,从中进一步研究其病原学。实验对象条件:(1)至少出现下列两种症状:发热、咳嗽、上呼吸道感染(URI)、上颌窦触痛和鼻腔脓性分泌物。(2)X线检查窦
Streptococcus pneumoniae and Haemophilus influenzae are the most common pathogens found in most acute maxillary sinusitis (AMS) bacteriological studies. The latter has become the major pathogen in the last 10 to 20 years. The past, the main pathogen - Streptococcus pyogenes are less and less. Some studies suggest that M. branhamella is an AMS pathogen. In recent years, 40% of AMS is believed to be caused by anaerobic bacteria. Thus partially explaining the problem of negative culture of a significant portion of AMS patients. This article chooses to undergo rigorous clinical examination and sinus aspiration culture after diagnosis of AMS patients, from which to further study its etiology. Subjects: (1) At least two of the following symptoms occurred: fever, cough, upper respiratory tract infection (URI), maxillary sinus pain and nasal purulent discharge. (2) X-ray examination sinus