Serrão Neto A, Flores P, Ruah C, Sousa E, Pereira P, Noronha F T, Palminha J M, Penha R
Serviço de Pediatria do Hospital S. Francisco de Xavier, Lisboa.
Acta Med Port. 1998 Jul;11(7):643-7.
We retrospectively studied seventeen cases of acute mastoiditis admitted to the Paediatric Ward of S. Francisco Xavier Hospital during 8 years and 8 months. Seven patients were admitted in 1995. We found no reason for this increase. Eleven children were male and 5 were under 2 years of age. All cases, except one of post-traumatic mastoiditis, occurred after acute otitis media. Only 5 children referred symptoms for more than seven days before admission. Seven patients had surgery. The surgical group of children had a longer period of illness when compared to those only treated medically (7.6 versus 3.9 days). Tympanocentesis was performed in 6 patients, but it did not affect the outcome of the illness. In three children there were complications: Bezold abscess, labyrinthitis and cholesteatoma. The latter was the only patient in our series with permanent hearing loss.
我们回顾性研究了8年8个月期间入住圣弗朗西斯科·哈维尔医院儿科病房的17例急性乳突炎病例。1995年收治了7例患者。我们未发现这种增加的原因。11名儿童为男性，5名年龄在2岁以下。除1例创伤后乳突炎外，所有病例均发生在急性中耳炎之后。只有5名儿童在入院前出现症状超过7天。7名患者接受了手术。与仅接受药物治疗的儿童相比，接受手术的儿童病程更长（7.6天对3.9天）。6例患者进行了鼓膜穿刺，但这并未影响疾病的转归。3名儿童出现了并发症：贝佐尔德脓肿、迷路炎和胆脂瘤。后者是我们系列中唯一有永久性听力损失的患者。
