隆鼻术后并发感染误诊为排斥反应原因分析与处理

Analysis and management of 25 cases of sccondary infection after augementative rhinoplasty with silicon rubber misdiagnosed as rejection

报告用固体硅胶隆鼻术后，因鼻部出现红肿与积液被诊断为“排斥反应”而摘除鼻支架的２５例求术者，经作者再次行隆鼻术后，手术成功２４例，失败１例（为术后出现血肿）。认为本组既往以“排斥反应”诊断有误，上述表现系感染所致，并对其误诊的原因进行了分析，对感染与排斥反应的鉴别提出初步意见。

This article reports 25 cases of secondary infection after augmentative rhinoplasty with silicon rubber which were misdiagnosed as rejection for a time. Augmentative rhinoplasty was per-formed once again and.succeeded in 24 cases failed but in one. The authors decided that the diagnosis of rejection was misjudged.Redness,swelling and accumulating of fluid were causes by infection. This article analyses the cases of misdiagnosis,points out the differences between infection and rection.It also provides experience in the prevention and tretment of secondary infection after augmentative rhinoplasty.