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[鼻窦炎的病因、诊断和治疗共识文件]

[Consensus document on the aetiology, diagnosis and treatment of sinusitis].

作者信息

Martinez Campos L, Albañil Ballesteros R, de la Flor Bru J, Piñeiro Pérez R, Cervera J, Baquero Artigao F, Alfayate Miguelez S, Moraga Llop F, Cilleruelo Ortega M J, Calvo Rey C

机构信息

Sociedad Española de Infectología Pediátrica (SEIP).

出版信息

An Pediatr (Barc). 2013 Nov;79(5):330.e1-330.e12. doi: 10.1016/j.anpedi.2013.04.027. Epub 2013 Jun 10.

Abstract

The Spanish National Consensus (Spanish Society of Pediatric Infectious Diseases, Spanish Association of Primary Care Pediatrics, Spanish Society of Pediatric Outpatient and Primary Care, Spanish Society of Otorhinolaryngology and Cervical-Facial Pathology) on Sinusitis is presented. Rhinosinusitis is a difficult to diagnose and often unrecognised disease. The document discusses the aetiology, the clinical signs and symptoms, and the diagnostic criteria. A proposal for treatment is made based on the epidemiological situation in our country. Oral amoxicillin is the treatment of choice (80mg/kg/day divided every 8hours). Alternative treatment is proposed in special cases and when amoxicillin is not sufficient. The main complications are reviewed.

摘要

本文展示了西班牙关于鼻窦炎的全国性共识(西班牙儿科传染病学会、西班牙初级保健儿科学会、西班牙儿科门诊与初级保健学会、西班牙耳鼻咽喉头颈病理学学会)。鼻-鼻窦炎是一种难以诊断且常未被识别的疾病。该文件讨论了病因、临床体征和症状以及诊断标准。根据我国的流行病学情况提出了治疗建议。口服阿莫西林是首选治疗药物(80mg/kg/天,每8小时分服一次)。在特殊情况以及阿莫西林治疗不足时提出了替代治疗方案。文中还回顾了主要并发症。

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