Rossi O V, Pirilä T, Laitinen J, Huhti E
Department of Internal Medicine, University of Oulu, Finland.
Int Arch Allergy Immunol. 1994;103(2):209-13. doi: 10.1159/000236629.
We evaluated the occurrence of abnormalities in paranasal sinus radiographs in acute asthma by taking a radiograph of the sinuses of 110 consecutive patients admitted to a medical ward a total of 149 times for asthma. Maxillary sinus infection was assessed by taking aspirate from radiologically abnormal maxillary sinuses. An abnormal finding in any paranasal sinus was detected on 87% (130 of 149) of admissions and the yield of maxillary aspirate was macroscopically mucous, purulent or mucopurulent in 60% (42 of 70) of aspirates. A positive bacteriological culture was obtained from 23 aspirates and a virus was detected in 15, there being 7 aspirates in which both a bacterium and a virus could be detected. Although the correlation between radiographic findings and the aspirates was not very close we conclude that radiographic abnormalities of the paranasal sinuses are common in acute asthma as are infections of maxillary sinuses with an abnormal radiographic finding. There is an obvious need to look for sinusitis when a patient with an exacerbation of asthma is being evaluated.
我们通过对110名因哮喘连续入住内科病房的患者共进行149次鼻窦X光检查，评估了急性哮喘患者鼻窦X光片中异常情况的发生率。通过对上颌窦X光片显示异常的上颌窦进行穿刺抽吸来评估上颌窦感染情况。在149次入院检查中，87%（130次）发现任何鼻窦存在异常，在70次穿刺抽吸中，60%（42次）抽出物肉眼观察为黏液性、脓性或黏液脓性。23次穿刺抽吸获得了阳性细菌培养结果，15次检测到病毒，7次穿刺抽吸中同时检测到细菌和病毒。尽管X光检查结果与穿刺抽吸结果之间的相关性不是很强，但我们得出结论，鼻窦X光片异常在急性哮喘中很常见，上颌窦感染伴X光片异常也很常见。在评估哮喘加重患者时，显然有必要排查鼻窦炎。
