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我科在1996年～1998年收治小儿鼻窦炎180例,现将临床治疗体会总结如下。1 临床资料1.1 病例选择 180例中男99例,女81例;年龄在8个月至10岁之间。均经临床诊断确诊患鼻窦炎。1.2 临床表现 (1)急性鼻窦炎:有发热、失水、精神萎糜,呼吸急促、拒食甚至抽搐,并常伴上、下呼吸道症状,如咽痛、咳嗽等,也有伴发急性中耳炎、鼻出血或关节疼痛者。在较大儿童常主诉头痛或一侧面颊部疼痛。(2)慢性鼻窦炎:鼻部症状:间歇性或持续性鼻塞,流粘液性或粘脓性鼻涕及鼻腔反复出血等,部分患儿因鼻涕倒流入咽部,表现为痰多。邻近器官症状:如支气管及肺部炎症。声音嘶哑、颈部淋巴结肿大、慢性中耳炎、泪囊炎、结膜炎及咽炎等临床表现。全
Our department in 1996 to 1998 admitted to 180 cases of pediatric sinusitis, now the clinical treatment experience is summarized as follows. 1 Clinical data 1.1 Case Selection 180 cases of male 99 cases, 81 females; aged between 8 months to 10 years old. Are diagnosed by clinical diagnosis of sinusitis. 1.2 Clinical manifestations (1) Acute sinusitis: fever, dehydration, spiritual wilt, shortness of breath, antifeedant or convulsions, and often accompanied by upper and lower respiratory symptoms, such as sore throat, cough, but also with acute otitis media, nasal Bleeding or joint pain. In older children often complain of headache or cheek pain on one side. (2) chronic sinusitis: nasal symptoms: intermittent or persistent nasal congestion, flow mucus or purulent nasal discharge and repeated nasal bleeding, some children due to the nose and back into the throat, manifested as phlegm. Proximal organ symptoms: such as bronchus and lung inflammation. Hoarseness, neck lymph nodes, chronic otitis media, dacryocystitis, conjunctivitis and pharyngitis and other clinical manifestations. all