甄辨真正原发感染灶实现有效治疗脑脓肿1例报道并文献复习  

Identifying the Real Primary Infection to Achieve an Effective Treatment of Brain Abscess in 1 Case and Literature Review

作　　者：张文彬[1] 宋晓宇 王广阔[1] 任超 宋西成[1,2] 

机构地区：[1]青岛大学附属烟台毓璜顶医院耳鼻咽喉头颈外科,山东 烟台 [2]山东省耳鼻喉疾病临床医学研究中心,山东 烟台

出　　处：《临床医学进展》2023年第4期5720-5725,共6页Advances in Clinical Medicine

摘　　要：临床上脑脓肿报道并不少见,但耳源性危险因素与鼻源性危险因素同时存在,鉴别真正感染灶并采取对症治疗,临床上却鲜有报道,故出现此种情况极易误诊。通过本例患者存在鼻窦炎病史,需要与耳源性脑脓肿相鉴别。可得出结论:临床上我们需要重视原发感染灶的诊断,以对症治疗。Clinical reports of brain abscess are not rare, but otogenic risk factors and nasogenic risk factors ex-ist simultaneously. However, few clinical reports have been reported to identify the true infection foci and take symptomatic treatment, so it is easy to misdiagnose this situation. This patient had a history of sinusitis, which needed to be distinguished from otogenic brain abscess. It can be con-cluded that we need to pay more attention to the diagnosis of primary infection in clinical practice for symptomatic treatment.

关 键 词：脑脓肿 鼻源性 耳源性 

分 类 号：R65[医药卫生—外科学]