外科重症监护病房中的上颌窦炎：一项使用床旁鼻窦超声的研究
Maxillary sinusitis in the surgical intensive care unit: a study using bedside sinus ultrasound.
作者信息
Kaups K L, Cohn S M, Nageris B, Lavelle W G
机构信息
Department of Surgery, University of Massachusetts Medical Center, Worcester, USA.
出版信息
Am J Otolaryngol. 1995 Jan-Feb;16(1):24-8. doi: 10.1016/0196-0709(95)90005-5.
PURPOSE
This study investigates the incidence of acute maxillary sinusitis (AMS) in the surgical intensive care unit (SICU).
METHODS
One hundred consecutive patients admitted to the SICU were examined in a prospective observational mode. Bedside sinus ultrasound (SUS) was performed on admission and every 48 hours. Patients with sinus fluid by SUS and unexplained sepsis underwent confirmatory sinus aspiration.
RESULTS
The development of fluid in the maxillary sinus was identified in 15 patients by SUS. Acute maxillary sinus occurred in only 1 (1%).
CONCLUSION
This study shows SUS to be a simple, efficient method for determining the presence of maxillary sinus fluid in the SICU. Acute maxillary sinus was an unusual finding. Our policy of avoidance of nasal instrumentation may have contributed to the low incidence of AMS in this high-risk patient population.
目的
本研究调查外科重症监护病房（SICU）中急性上颌窦炎（AMS）的发病率。
方法
以前瞻性观察模式对连续100例入住SICU的患者进行检查。入院时及每48小时进行一次床边鼻窦超声（SUS）检查。经SUS检查发现有鼻窦积液且伴有不明原因脓毒症的患者接受了确诊性鼻窦穿刺抽吸。
结果
通过SUS检查，在15例患者中发现上颌窦有积液。仅1例（1%）发生急性上颌窦炎。
结论
本研究表明，SUS是一种用于确定SICU中上颌窦积液情况的简单、有效的方法。急性上颌窦炎是一种不常见的发现。我们避免鼻腔器械操作的策略可能导致了该高危患者群体中AMS的低发病率。
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