儿童自发性脑脊液耳鼻漏并反复化脓性脑膜炎1例报告并文献复习  

Spontaneous cerebrospinal fluid oto-rhinorrhea with recurrent purulent meningitis:a case report and literature review

作　　者：朱宝俊 马衍[2,3] 魏红霞[4] 向明亮[2,3] 吴皓[2,3] 姚渭清[4] 

机构地区：[1]舟山市普陀中医院儿科,浙江舟山316100 [2]上海交通大学医学院耳科学研究所 [3]上海交通大学医学院附属新华医院耳鼻咽喉头颈外科,上海200092 [4]上海交通大学医学院附属新华医院儿科重症监护病房,上海200092

出　　处：《临床儿科杂志》2014年第1期59-61,共3页Journal of Clinical Pediatrics

摘　　要：目的报道1例儿童自发性脑脊液耳鼻漏并发反复化脓性脑膜炎,探讨相应的诊治方法。方法回顾性总结1例9岁自发性脑脊液耳鼻漏并发反复化脓性脑膜炎患儿的发病及诊治过程。结果该患儿因反复4次化脓性脑膜炎就诊,经手术成功治愈。结论儿童自发性脑脊液耳鼻漏是一种罕见疾病。对于反复发生化脓性脑膜炎患儿,儿科医师应警惕脑脊液耳鼻漏。Objectives To report a case of spontaneous cerebrospinal fluid oto-rhinorrhea with recurrent purulent meningitis and to discuss its diagnosis and treatment. Methods The medical history, diagnosis and treatment of a 9-year-old child with spontaneous cerebrospinal fluid oto-rhinorrhea with recurrent purulent meningitis was retrospectively reviewed. Results The child visited a doctor due to four episodes of purulent meningitis. Spontaneous cerebrospinal fluid oto-rhinorrhea was cured by surgery. Conclusions The spontaneous cerebrospinal fluid oto-rhinorrhea in children is rare. Pediatrician should be alert of recurrent purulent meningitis in cerebrospinal fluid oto-rhinorrhea.

关 键 词：脑脊液耳漏 脑脊液鼻漏 细菌性脑膜炎 

分 类 号：R725.1[医药卫生—儿科]