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一份关于儿童鼻窦炎的13年报告:临床表现、诱发因素及可能的预防方法。

A 13-year report on childhood sinusitis: clinical presentations, predisposing factors and possible means of prevention.

作者信息

Henriksson G, Westrin K M, Kumlien J, Stierna P

机构信息

Department of Otorhinolaryngology, Karolinska Institute, Huddinge University Hospital, Sweden.

出版信息

Rhinology. 1996 Sep;34(3):171-5.

PMID:8938888
Abstract

Two hundred and nineteen children with sinusitis treated as in-patients at Huddinge University Hospital during the period 1980-1992 have been reviewed. Epidemiological data, the clinical picture, treatment and complications are described. The prevalence of significant predisposing conditions (such as upper airway allergy, asthma, and immunoglobulin deficiency) has been estimated. Serious sinusitis complications are few, surgery is only rarely required, and previously-recognized important predisposing paediatric conditions are not significantly more common than in the general juvenile population. Improved medication and prevention may have reduced the incidence of serious sinus infections in risk groups today. Children with cystic fibrosis have been reviewed with regard to the necessity of both sinus and nasal polyp surgery. Aggressive medical therapy appears to have reduced their need for sinus surgery as well as polypectomy.

摘要

对1980年至1992年期间在胡丁厄大学医院住院治疗的219例鼻窦炎患儿进行了回顾性研究。描述了流行病学数据、临床表现、治疗方法及并发症情况。评估了显著的易感因素(如气道过敏、哮喘和免疫球蛋白缺乏)的患病率。严重的鼻窦炎并发症较少,很少需要手术治疗,且先前公认的重要儿科易感因素在普通青少年人群中并不比在这些患儿中更常见。如今,药物治疗和预防措施的改进可能降低了危险人群中严重鼻窦感染的发生率。对患有囊性纤维化的儿童进行了关于鼻窦和鼻息肉手术必要性的评估。积极的药物治疗似乎减少了他们对鼻窦手术和息肉切除术的需求。

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