小儿急性细菌性鼻窦炎：诊断与治疗难题

Pediatric Acute Bacterial Sinusitis: Diagnostic and Treatment Dilemmas.

作者信息

Fang Andrea, England Jasmin, Gausche-Hill Marianne

机构信息

Health Sciences Clinical Instructor (Fang) and EMS Fellowship Director (Gausche-Hill), *Department of Emergency Medicine, Harbor-UCLA Medical Center; †Los Angeles Biomedical Research Institute at Harbor-UCLA, Torrance, CA; and Pediatric Resident (England) and Professor of Clinical Medicine and Pediatrics (Gausche-Hill), ‡Department of Pediatrics, David Geffen School of Medicine at UCLA, Los Angeles, CA.

出版信息

Pediatr Emerg Care. 2015 Nov;31(11):789-94; quiz 795-7. doi: 10.1097/PEC.0000000000000599.

DOI:10.1097/PEC.0000000000000599

PMID:26535501

Abstract

Acute bacterial sinusitis (ABS) is a common complication of a simple upper respiratory infection. Acute bacterial sinusitis and an upper respiratory infection, however, have different management plans. This article will help clinicians establish when a diagnosis of ABS can be made based on the latest guidelines from the American Academy of Pediatrics. Also covered will be the pathophysiology of ABS, the role of diagnostic imaging, the recognition of complications of ABS, and treatment options.

摘要

急性细菌性鼻窦炎（ABS）是单纯上呼吸道感染的常见并发症。然而，急性细菌性鼻窦炎和上呼吸道感染有不同的治疗方案。本文将帮助临床医生根据美国儿科学会的最新指南确定何时可诊断为ABS。还将涵盖ABS的病理生理学、诊断性影像学的作用、ABS并发症的识别以及治疗选择。