儿童鼻源性眶内蜂窝织炎18例分析  

Analysis of acute sinusitis or nasal furuncle derived orbital cellulitis in children:review of 18 cases

作　　者：尹德佩[1] 张海港[1] 窦训武[1] 朱慧娥[1] 

机构地区：[1]苏州大学附属儿童医院耳鼻咽喉头颈外科,江苏苏州215003

出　　处：《临床耳鼻咽喉头颈外科杂志》2016年第13期1066-1068,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的：分析儿童鼻源性眶内蜂窝织炎的诊断和治疗方法。方法：对2009-01-2015-12期间就诊的18例急性鼻源性眶内蜂窝织炎患儿的资料进行回顾性研究。结果：16例（88.89%）患儿系急性鼻窦炎,2例（11.11%）患儿系鼻疖。16例（88.89%）患儿静脉应用抗生素及激素治疗后好转,2例患儿手术干预治疗后好转,平均住院时间7.33d（5-13d）。结论：足量的静脉抗生素联合激素及局部治疗（88.89%）以及及时、果断的手术干预（11.11%）可有效控制疾病,阻断疾病进展。Objective：To analyze the diagnosis and treatment of acute sinusitis or nasal furuncle derived periorbital cellulitis in children.Method：The clinical data of 18 children with acute sinusitis or nasal furuncle derived orbital cellulitis was analyzed retrospectively.Result：Sixteen cases（88.89%）had acute sinusitis and 2（11.11%）had furuncle of nose.All cases were treated with antibiotics and steroids.And 16 cases were cured and the other two received surgery.The median length of hospitalization was 7.33days（5-13days）.Conclusion：Sufficient antibiotics combined with steroids and local treatment is critical in treating pediatric orbital cellulitis.Timely and decisive surgical intervention can effectively control the progression of disease.

关 键 词：眶内蜂窝织炎 鼻窦炎 鼻疖 

分 类 号：R765.4[医药卫生—耳鼻咽喉科]