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慢性上颌窦炎中的铜绿假单胞菌

Pseudomonas aeruginosa in chronic maxillary sinusitis.

作者信息

Koltai P J, Maisel B O, Goldstein J C

出版信息

Laryngoscope. 1985 Jan;95(1):34-7. doi: 10.1288/00005537-198501000-00010.

DOI:10.1288/00005537-198501000-00010
PMID:3917521
Abstract

Pseudomonas aeruginosa (Ps. Au.) infection of the maxillary sinus has been reported as an incidental finding on routine antrostomy; however, it has also been noted in several studies as the significant organism in the etiology of chronic sinusitis. Four case reports of culture verified Ps. Au. maxillary sinusitis are presented. The therapeutic modality used in two of the cases was a Caldwell-Luc operation and in two, an intranasal antrostomy. In all cases, multiple irrigations through the surgically created nasoantral windows were done postoperatively, as was the instillation of gentamicin ophthalmic drops intranasally. In all four cases the infection cleared with this combined surgical and medical therapy.

摘要

铜绿假单胞菌(绿脓杆菌)上颌窦感染在常规鼻窦造口术中被作为偶然发现报道过;然而,在几项研究中它也被视为慢性鼻窦炎病因中的重要病原体。本文呈现了4例经培养证实的铜绿假单胞菌上颌窦炎病例报告。其中2例采用的治疗方式是柯-陆氏手术,另外2例采用鼻内鼻窦造口术。所有病例术后均通过手术造的鼻-窦窗口进行多次冲洗,并经鼻内滴入庆大霉素眼药水。通过这种手术与药物联合治疗,所有4例感染均得以清除。

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