世界最新医学信息文摘（连续型电子期刊）
世界最新醫學信息文摘（連續型電子期刊）
세계최신의학신식문적（련속형전자기간）
World Latest Medicine Information
2014年
26期
93-94
,共2页
小儿副鼻窦炎%诊治分析%临床效果
小兒副鼻竇炎%診治分析%臨床效果
소인부비두염%진치분석%림상효과
pediatric deputy sinusitis%analysis of diagnosis and treatment%clinical effect
目的：分析门诊94例小儿副鼻窦炎的诊断结果，以提高对鼻窦炎的认识。方法选取我院于2008年1月至2010年7月间142例迁延性咳嗽或慢性咳嗽的门诊患儿，经副鼻窦ct确诊为副鼻窦炎的94例患儿，进一步分析患者的临床诊断结果。结果142例迁延性咳嗽或慢性咳嗽的门诊患儿，经过副鼻窦ct诊断发现ct阳性率共96例，有94例小儿副鼻窦炎患者。主要包括上颌窦炎患者有74例，其中双侧患者是54例，左侧和右侧患者分别是10例和10例。筛窦炎患者有38例，其中双侧患者是24例，左侧和右侧患者分别是11例和3例。蝶窦炎患者有19例，其中双侧患者是9例，左侧和右侧患者分别是7例和3例。额窦炎患者有3例，其中双侧患者是2例，右侧患者1例。全组副鼻窦炎10例，上颌窦炎、筛窦炎、蝶窦炎患者有7例。结论在小儿副鼻窦炎患者诊断过程中，患儿出现反复的咳嗽、伴或不伴有流涕、鼻塞如若体检发现咽后壁滤泡增生，呈“鹅卵石”样外观，咽后壁见黏痰附着或脓性黏液滴注者是小儿副鼻窦炎的主要临床症状，在临床诊断过程中可以依靠ct诊断来加强对小儿副鼻窦炎患者的诊治，减少漏诊，并能使鼻窦炎及时治疗，治愈咳嗽。
目的：分析門診94例小兒副鼻竇炎的診斷結果，以提高對鼻竇炎的認識。方法選取我院于2008年1月至2010年7月間142例遷延性咳嗽或慢性咳嗽的門診患兒，經副鼻竇ct確診為副鼻竇炎的94例患兒，進一步分析患者的臨床診斷結果。結果142例遷延性咳嗽或慢性咳嗽的門診患兒，經過副鼻竇ct診斷髮現ct暘性率共96例，有94例小兒副鼻竇炎患者。主要包括上頜竇炎患者有74例，其中雙側患者是54例，左側和右側患者分彆是10例和10例。篩竇炎患者有38例，其中雙側患者是24例，左側和右側患者分彆是11例和3例。蝶竇炎患者有19例，其中雙側患者是9例，左側和右側患者分彆是7例和3例。額竇炎患者有3例，其中雙側患者是2例，右側患者1例。全組副鼻竇炎10例，上頜竇炎、篩竇炎、蝶竇炎患者有7例。結論在小兒副鼻竇炎患者診斷過程中，患兒齣現反複的咳嗽、伴或不伴有流涕、鼻塞如若體檢髮現嚥後壁濾泡增生，呈“鵝卵石”樣外觀，嚥後壁見黏痰附著或膿性黏液滴註者是小兒副鼻竇炎的主要臨床癥狀，在臨床診斷過程中可以依靠ct診斷來加彊對小兒副鼻竇炎患者的診治，減少漏診，併能使鼻竇炎及時治療，治愈咳嗽。
목적：분석문진94례소인부비두염적진단결과，이제고대비두염적인식。방법선취아원우2008년1월지2010년7월간142례천연성해수혹만성해수적문진환인，경부비두ct학진위부비두염적94례환인，진일보분석환자적림상진단결과。결과142례천연성해수혹만성해수적문진환인，경과부비두ct진단발현ct양성솔공96례，유94례소인부비두염환자。주요포괄상합두염환자유74례，기중쌍측환자시54례，좌측화우측환자분별시10례화10례。사두염환자유38례，기중쌍측환자시24례，좌측화우측환자분별시11례화3례。접두염환자유19례，기중쌍측환자시9례，좌측화우측환자분별시7례화3례。액두염환자유3례，기중쌍측환자시2례，우측환자1례。전조부비두염10례，상합두염、사두염、접두염환자유7례。결론재소인부비두염환자진단과정중，환인출현반복적해수、반혹불반유류체、비새여약체검발현인후벽려포증생，정“아란석”양외관，인후벽견점담부착혹농성점액적주자시소인부비두염적주요림상증상，재림상진단과정중가이의고ct진단래가강대소인부비두염환자적진치，감소루진，병능사비두염급시치료，치유해수。
Objectiveto analyze the clinical diagnosis of 94 cases of pediatric deputy sinusitis in outpatient department, in order to improve the understanding of sinusitis.Methods 142 outpatient children with protracted cough and chronic cough were selected from January 2008 to July 2010 and 94 cases were diagnosed with deputy sinusitis by paranasal sinus ct. the patient's clinical diagnosis results were further analyzed.Results 96 cases of 142 outpatient children with protracted cough and chronic cough were diagnosed with positive showing by paranasal sinus ct and 94 cases with deputy sinusitis. of which 74 patients were diagnosed with maxillary sinusitis and of these patients 54 cases with bilateral sides and 10 cases on either left or the right side.38 patients were diagnosed with ethmoid sinusitis, of which 24 cases were showed with bilateral sides and 11 cases and 3 cases on either left or the right side, respectively. 19 patients with sphenoid sinusitis including bilateral sides 9 cases, 7 cases and 3 cases on either left or right side, respectively. there were 3 patients with frontal sinusitis, including bilateral sides 2 cases and the right side 1 case. in the group, there were 10 cases with deputy sinusitis, and 7 cases with maxillary sinusitis , ethmoid sinusitis and sphenoid sinusitis, respectively.Conclusionin diagnosis process of pediatric deputy sinusitis, the children performed repeatedly cough, with or without running nose, rhinobyon. follicular hyperplasia on pharynx posterior wall was found by medical examination, like "pebbles" appearance. the major clinical symptoms were phlegm attaching to pharynx posterior wall or purulent mucus dripping. in the process of clinical diagnosis, ct can be relied to strengthen the diagnosis and treatment of pediatric deputy sinusitis and reduce misdiagnosis, and is help to treat the sinusitis to cure cough.
