急性额窦炎并发硬脑膜外脓肿1例报告并文献复习  

Acute frontal sinusitis accompanied with extra-dural abscess (a case reported with literature reviewed)

作　　者：杨有雄 廖建春[2] 徐永康 

机构地区：[1]宁波市鄞州人民医院耳鼻咽喉科,浙江宁波315040 [2]第二军医大学附属长征医院耳鼻咽喉科 [3]宁波市鄞州人民医院神经外科

出　　处：《临床耳鼻咽喉科杂志》2006年第23期1068-1069,共2页Journal of Clinical Otorhinolaryngology

摘　　要：目的:探讨急性额窦炎并发硬脑膜外脓肿的临床特征。方法:分析1例CT确诊为急性额窦炎并发硬脑膜外脓肿患者的临床特征,并复习相关文献。结果:头痛、高热和单纯的药物抗菌治疗无效是急性额窦炎并发硬脑膜外脓肿的3大特征。结论:对急性额窦炎并发硬脑膜外脓肿患者,在积极抗感染的同时,手术引流是首选的治疗方法。抗菌治疗不能取代外科手术。Objective： To investigate the clinical characteristics of acute frontal sinusitis accompanied with extra-dural abscess. Metbod：A case of acute frontal sinusitis accompanied with extra-dural abscess diagnosed by CT was analyzed, and the relative literatures were reviewed. Result： Headache, high fever and failure to antibiotic therapy were the main three clinical characteristics. Conclusion： It is the most important thing to drainage the abscess except for antibiotic therapy for acute frontal sinusitis accompanied with extra-dural abscess. Antibiotic therapy cannot substitute for surgery.

关 键 词：额窦炎 并发症 硬膜外脓肿 

分 类 号：R763.62[医药卫生—耳鼻咽喉科]