儿童中耳胆脂瘤合并颅内外并发症1例  

Cholesteatoma of the middle ear combined with intracranial and extracranial complications in children: a case report

作　　者：温鑫[1] 宋英鸾 权珊[1] 黄爱萍[1] 周永青 WEN Xin;SONG Yingluan;QUAN Shan

机构地区：[1]河北医科大学附属河北省儿童医院耳鼻咽喉科,石家庄050031 [2]联勤保障部队第980医院耳鼻咽喉头颈外科

出　　处：《临床耳鼻咽喉头颈外科杂志》2022年第2期139-141,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：1 病例报告患儿,女,9岁,主因双耳流脓20余天,发热伴呕吐14 d入院。患儿20 d前无明显诱因出现双侧外耳道流脓,伴耳痛,右侧为著,当地医院以"化脓性中耳炎"给予静脉点滴拉氧头孢抗感染及点耳治疗,仍有反复流脓,随后患儿出现发热,体温最高41.5℃,伴寒战、头痛、呕吐、咳嗽、咳痰,于当地医院完善相关检查后考虑"颅内感染"给予阿奇霉素联合头孢吡肟(4 d)、万古霉素联合美罗培南(2 d)抗感染等治疗后.In this paper, a case of middle ear cholesteatoma with sigmoid sinus thrombophlebitis and retroauricular subperiosteal abscess was reported. The female patient was hospitalized with bilateral ear abscess for more than 20 days and fever with vomiting for 14 days. Anti-infection treatment after admission, emergency right mastoid radical resection and tympanoplasty were performed under general anesthesia. The patient recovered well after surgery, and there was no recurrence after in the follow-up for more than 2 years.The clinical manifestations, imaging features and prognosis of this disease were discussed and analyzed in the paper.

关 键 词：中耳胆脂瘤 儿童 并发症 

分 类 号：R764.2[医药卫生—耳鼻咽喉科]