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6 岁男性急性中耳炎并发乙状窦血栓形成

Sigmoid Sinus Thrombosis as a Complication of Acute Otitis Media in a 6-Year-Old Male.

机构信息

Department of Otorhinolaryngology-Head and Neck Surgery, "G. Papanikolaou" General Hospital, Thessaloniki, Greece.

Second Department of Paediatrics, School of Medicine, Aristotle University of Thessaloniki, AHEPA University Hospital, Thessaloniki, Greece.

出版信息

Ear Nose Throat J. 2023 Aug;102(8):527-529. doi: 10.1177/01455613211015752. Epub 2021 May 16.

Abstract

Sigmoid sinus thrombosis (SST) is a potentially life-threatening complication of otitis media which is nowadays rare due to the widespread use of antibiotics. A high index of suspicion is necessary to allow for a timely diagnostic and therapeutic intervention. Intravenous wide-spectrum antibiotics and a cortical mastoidectomy are the mainstay of treatment. There is no consensus regarding the necessity of anticoagulants in pediatric patients. We present a 6-year-old boy who presented with an SST as a result of acute otitis media.

摘要

乙状窦血栓形成(SST)是中耳炎的一种潜在危及生命的并发症,由于抗生素的广泛应用,现在已经很少见了。为了进行及时的诊断和治疗干预,需要高度怀疑该病的可能性。静脉内使用广谱抗生素和皮质乳突切除术是主要的治疗方法。对于儿科患者是否需要使用抗凝剂,目前尚无共识。我们报告了一例 6 岁男孩,因急性中耳炎导致 SST。

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