Kuczkowski Jerzy, Narozny Waldemar, Mikaszewski Boguslaw, Stankiewicz Czeslaw
Department of Otolaryngology, Medical University of Gdansk, Poland.
Clin Pediatr (Phila). 2005 Oct;44(8):675-82. doi: 10.1177/000992280504400805.
A retrospective review of children diagnosed and treated for suppurative complications of paranasal sinusitis was undertaken to describe clinical presentation, microbiology, and treatment. This review includes children with subgaleal abscess and osteomyelitis of the frontal bone, subdural empyema, frontal lobe abscess, meningitis, and encephalitis. Staphylococcus aureus and group C beta-hemolytic Streptococcus were isolated agents. All children were treated with intravenous antibiotics with drainage of both the sinus and extracranial and intracranial suppurations. Results of treatment in the series support the opinion that combined aggressive surgical and antibiotic treatment is a preferred method in complicated sinusitis in children.
对诊断并治疗过鼻窦炎化脓性并发症的儿童进行了一项回顾性研究，以描述其临床表现、微生物学特征及治疗情况。该研究纳入了患有帽状腱膜下脓肿、额骨骨髓炎、硬膜下积脓、额叶脓肿、脑膜炎和脑炎的儿童。分离出的病原体为金黄色葡萄球菌和C组β溶血性链球菌。所有儿童均接受了静脉抗生素治疗，并对鼻窦以及颅外和颅内脓肿进行了引流。该系列的治疗结果支持以下观点：积极的手术与抗生素联合治疗是儿童复杂性鼻窦炎的首选治疗方法。
