Gadzhimirzaev G A
Vestn Otorinolaringol. 1999(6):24-7.
152 cases of otogenic thrombophlebitis of the sigmoid sinus (TSS) are analysed. 128 (84.2%) patients had thrombophlebitis and sepsis, 24 (15.8%) had thrombophlebitis without sepsis. TSS occurred more frequently in combination with other intracranial complications. In conditions of wide use of antibiotics and other drugs thromboembolic and toxicoinfectious otogenic complications may run with an atypical clinical picture: with reduced symptoms, without classic manifestations of sepsis. In diagnosis such investigations as computed tomography, MR-tomography, ultrasonography may be decisive. Major diagnostic criterium in diagnosis of otogenic sepsis is polyorganic insufficiency. Otogenic thrombophlebitis and sepsis is treated first of all surgically--the purulent focus in the ear should be cleansed. Postoperative treatment includes antimicrobial drugs, immunomodulators, anticoagulants, antihistaminic, detoxicating and antiedematic medicines, UV irradiation of autoblood and hyperbaric oxygenation.
对152例乙状窦血栓性静脉炎（TSS）进行了分析。128例（84.2%）患者患有血栓性静脉炎和败血症，24例（15.8%）患有无败血症的血栓性静脉炎。TSS更常与其他颅内并发症同时发生。在广泛使用抗生素和其他药物的情况下，血栓栓塞性和中毒感染性耳源性并发症可能呈现非典型临床表现：症状减轻，无败血症的典型表现。在诊断中，计算机断层扫描、磁共振断层扫描、超声检查等检查可能起决定性作用。耳源性败血症诊断的主要标准是多器官功能不全。耳源性血栓性静脉炎和败血症首先应进行手术治疗——应清除耳部的脓性病灶。术后治疗包括抗菌药物、免疫调节剂、抗凝剂、抗组胺药、解毒和消肿药物、自体血紫外线照射和高压氧治疗。
