摘要
目的 耳鼻喉科医生应提高对眼症状的高度重视,尤其是慢性鼻窦炎时,注意视力的检查,达到正确诊断,及时治疗,防止漏诊延误治疗而形成严重的眼后遗症。方法 从解剖学角度剖析鼻窦与眼睛的关系,对慢性鼻窦炎也能引起眼并发症进行阐述说明。结合所遇2例慢性上颌窦炎合并眼症状病例及回顾性参考文献阐述慢性鼻窦炎可形成眼的并发症。结果 慢性鼻窦炎可引起眼视力低下、眼球运动障碍等并发症。结论 慢性上颌窦炎形成患侧眼并发症的几率虽低,但亦有散见,不容忽视。一旦发生眼部症状应立即手术。保守治疗仍以青霉素为首选。对青霉素耐药者,使用阿奇霉素治疗效果良好。
Objective E.N.T. department the doctor increases to value highly to the eye symptom, particularly is check that chronic nasosinusitis, notice the sight, attain the right diagnosis, on time treatment, prevent to leak examine a patient delay treatment but formation serious eye linger effect form.Methods Combination a relation for meeting 2 chronic last siagonantritis cases and consulting cultural heritage expatiating chronic nasosinusitis can becoming eye merging symptom, from the anatomy angle analysis paranasal sinus and eye, also can cause to the chronic nasosinusitis the eye merges the symptom proceeds to expatiate the elucidation.Results The chronic nasosinusitis can cause the lowly etc. In sight in eye merges symptom.Conclusion The chronic top siagonantritis formation gets several rates that side eye merges symptom although low, as well spread to see, allow of no to neglect.Once the occurrence eye a symptom should be immediately surgical operation.Not penicillin good bear the medicine to the penicillin, use the azithromycin treatment result good.
出处
《中华临床医学杂志》
2006年第4期22-23,26,共3页
Chinese Journal of Clinical Practical Medicine