急性中耳乳突炎并发耳源性颅内并发症

Acute mastoiditis with intra-cranial complications

目的探讨急性中耳乳突炎并发耳源性颅内并发症的诊断和治疗。方法回顾4例急性中耳乳突炎引起的颅内并发症患者,耳源性乙状窦血栓性静脉炎1例,耳源性脑膜炎2例,耳源性硬脑膜外脓肿1例。结果4位患者经乳突凿开术,配合有效的抗生素治疗,二期行乳突根治术,均获痊愈。结论急性中耳乳突炎患者一经诊断或怀疑颅内并发症者应立即行扩大乳突凿开术,通畅引流,应用有效抗生素,这是挽救患者生命的关键。

Objective To investigate the diagnostic methods and treatment of acute mastoiditis with intra-cranial complications. Methods This retrospective study reviewed 4 cases with acute mastoiditis accompanied by intra-cranial complications. The intra-cranial complications included thrombophlebitis of sigmoid sinus of one case , meningitis of 2 cases and extra-dural abscess of one case. The diagnosis and treatment of acute mastoiditis with intra-cranial complications were analyzed. Results All the four cases were undergone simple mastoidectomy immediately after diagnosis.Planned radical mastoidectomy were performed after a period of suitable antibiotic treatment. All cases got fully recovered with 100% cure rate. Conclusion Once the acute mastoiditis with intra-cranial complications were diagnosed , simple mastoidectomy should be performed immediately in case of causing fatal complications.