小儿副鼻窦支气管炎的治疗及免疫调控机制探讨  

The Treatment of Paranasal Sinusitis-Bronchitis in Enfant Stage and Its Mechanism of Immunoregulation

作　　者：杨武萍 周永镇 

机构地区：[1]江西新余钢铁公司中心医院,江西新余338001

出　　处：《实用临床医学（江西）》2006年第6期119-120,122,共3页Practical Clinical Medicine

摘　　要：目的:提高对小儿副鼻窦支气管炎的认识,探讨其治疗方法及免疫调控机制。方法:选用第3代头胞菌素、喹诺酮类、奥硝唑治疗急性发作,配合上颌窦负压吸引、冲洗,缓解期采用小剂量阿奇霉素、富露施口服和转移因子、丙种球蛋白肌注免疫调节。结果:17例患儿全部治愈,反复呼吸道感染发病率显著降低。结论:副鼻窦支气管炎为儿童慢性咳嗽常见原因,若儿童出现慢性咳嗽、咳痰、鼻塞、流涕、头痛时,应考虑本病的可能。及时作CT检查以明确诊断,并采取抗炎及免疫调节相结合的治疗方法。Objective： To explore paranasal sinusitis-bronchitis in enfant stage and probe into the therapeutic modality and immunoregulation about the disease. Methods：The third generation Cephlosporinus,Quinolones and Ornidazole were used for acute infection outbreak with chroin paranasal sinusitis-bronchitis,in addition of washing palatine sinus and nosal cavity, then alluring with negative pressure the sinus in catabasis and taking minute dose of Azithromycin and Fluimucil and gettling an injetion with Transfer factor and Human-r-Globulin for immunoregulation. Results： Seventeen patients with paranasal sinusitis-bronchitis all were healed and later the infection rate of the respirotary system reduced markedly. Conclusion：The paranasal sinusitis-bronchitis is the usual cause of chronic cough in enfant stage. If accompanied by chronic cough, expectoration, snuffle,watery nosal discharge or headache, the child may suffer from the disease and had better to be checked by CT to make the positure diagnosis,then being taken the therapecitic methods of combine belween the anti-inflammation and immunoregulation.

关 键 词：儿童 副鼻窦支气管炎 免疫调控 

分 类 号：R725.6[医药卫生—儿科]