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鼻硬结病的治疗

The management of rhinoscleroma.

作者信息

Ssali C L

出版信息

J Laryngol Otol. 1975 Jan;89(1):91-9. doi: 10.1017/s0022215100080117.

DOI:10.1017/s0022215100080117
PMID:1089741
Abstract

This investigation showed that the organism klebsiella rhinoscleromatis was present consistently in our cases. It was found to be difficult to eradicate completely although seemingly sensitive to common antibiotics in vitro. A prolonged treatment with bactericidal antibiotics is therefore necessary to eradicate it. Nasal dilatation rather than excision of granulations is required to restore nearly-normal physiological nasal function. Excision or cautery of granulations inside the nose is discouraged so as to avoid atropic changes.

摘要

本次调查显示,鼻硬结克雷伯菌在我们的病例中始终存在。尽管该菌在体外似乎对常用抗生素敏感,但发现很难将其完全根除。因此,需要长期使用杀菌性抗生素进行治疗以将其根除。恢复接近正常的鼻腔生理功能需要进行鼻腔扩张而非肉芽切除。不建议对鼻腔内的肉芽进行切除或烧灼,以免出现萎缩性改变。

相似文献

1
The management of rhinoscleroma.鼻硬结病的治疗
J Laryngol Otol. 1975 Jan;89(1):91-9. doi: 10.1017/s0022215100080117.
2
Study of the "in vitro" and "in vivo" effects of antibiotics on Klebsiella rhinoscleromatis.抗生素对鼻硬结克雷伯菌的“体外”和“体内”作用研究。
Chemotherapy. 1965;10(6):359-68. doi: 10.1159/000220428.
3
Rhinoscleroma.鼻硬结病
Isr J Med Sci. 1977 Jan;13(1):62-4.
4
In vitro activities of streptomycin and 11 oral antimicrobial agents against clinical isolates of Klebsiella rhinoscleromatis.链霉素及11种口服抗菌药物对鼻硬结克雷伯菌临床分离株的体外活性
Antimicrob Agents Chemother. 1992 Aug;36(8):1785-7. doi: 10.1128/AAC.36.8.1785.
5
Laryngotracheal manifestations of rhinoscleroma.鼻硬结病的喉气管表现
Ann Otol Rhinol Laryngol. 1996 May;105(5):336-40. doi: 10.1177/000348949610500502.
6
[Spheno-ethmoidal rhinoscleroma. Report of a case and review of the literature].[蝶筛窦鼻硬结病。1例报告并文献复习]
Ann Otolaryngol Chir Cervicofac. 1998 May;115(2):85-8.
7
Chronic nasal infection caused by Klebsiella rhinoscleromatis or Klebsiella ozaenae: two forgotten infectious diseases.由鼻硬结克雷伯菌或臭鼻克雷伯菌引起的慢性鼻感染:两种被遗忘的传染病。
Int J Infect Dis. 2007 Sep;11(5):423-9. doi: 10.1016/j.ijid.2006.10.005. Epub 2007 Mar 6.
8
[Rhinoscleroma--clinical and pathological features].[鼻硬结病——临床与病理特征]
Z Laryngol Rhinol Otol. 1973 Jul;52(7):486-97.
9
Rhinoscleroma of the lower respiratory tract.下呼吸道鼻硬结病
Laryngoscope. 1977 Jan;87(1):1-9. doi: 10.1288/00005537-197701000-00001.
10
Rhinoscleroma.硬结性多软骨炎。
Arch Pathol Lab Med. 2018 Dec;142(12):1533-1536. doi: 10.5858/arpa.2018-0073-RA. Epub 2018 Aug 31.

引用本文的文献

1
Rhinoscleroma: a case series report and review of the literature.鼻硬结病:病例系列报告及文献综述
Eur Arch Otorhinolaryngol. 2014 Jul;271(7):1851-6. doi: 10.1007/s00405-013-2649-z. Epub 2013 Aug 1.
2
A rare case of rhinoscleroma.一例罕见的鼻硬结病。
Indian J Otolaryngol Head Neck Surg. 1999 Dec;52(1):74-5. doi: 10.1007/BF02996441.
3
Rhinoscleroma- surgical management - a case report.鼻硬结病-外科治疗-病例报告
Indian J Otolaryngol Head Neck Surg. 1999 Dec;52(1):64-6. doi: 10.1007/BF02996437.
4
A clinical study of local acriflavin in treatment of rhinoscleroma.局部应用吖啶黄治疗鼻硬结病的临床研究
Indian J Otolaryngol Head Neck Surg. 1999 Jan;51(1):51-4. doi: 10.1007/BF02996846.
5
An unusual case of solitary scleroma of cheek.一例罕见的颊部孤立性硬结症病例。
Indian J Otolaryngol Head Neck Surg. 1998 Jul;50(3):296-7. doi: 10.1007/BF03007014.
6
MR appearance of rhinoscleroma.鼻硬结病的磁共振成像表现。
AJNR Am J Neuroradiol. 1999 Apr;20(4):575-8.
7
Rhinoscleroma with orbital extension: CT and MRI.伴有眼眶侵犯的鼻硬结病:CT与MRI表现
Neuroradiology. 1996 Feb;38(2):175-8. doi: 10.1007/BF00604813.
8
In vitro activities of streptomycin and 11 oral antimicrobial agents against clinical isolates of Klebsiella rhinoscleromatis.链霉素及11种口服抗菌药物对鼻硬结克雷伯菌临床分离株的体外活性
Antimicrob Agents Chemother. 1992 Aug;36(8):1785-7. doi: 10.1128/AAC.36.8.1785.