小儿副鼻窦支气管炎64例分析

Analysis of 64 Cases with Sino-bronchitis

目的探讨小儿副鼻窦支气管炎的临床特点、治疗及预后。方法以2005年1月至2006年12月诊治的小儿副鼻窦支气管炎为对象,进行回顾性分析。结果副鼻窦支气管炎占同期儿童慢性咳嗽的48.85%,其临床表现除咳嗽外,78.73%伴有流涕及鼻黏膜红肿。副鼻窦X线摄片漏诊率45.31%,其中筛窦炎的漏诊率为80.77%。副鼻窦支气管炎是局部化脓性炎症,在给予抗生素同时作局部处理,疗程2～4周,痊愈率100%。结论副鼻窦支气管炎是儿童慢性咳嗽的首位病因,对慢性咳嗽患者应重视鼻部症状及鼻咽部检查,作副鼻窦CT确定诊断,其治疗效果良好。

objective To investigate the clinical feature,therapy and prognosis of childhood sino-bronchitis.Methods Retrospective analysis was carried out among children with sino-bronchitis diagnosed and treated from Jan,2005 to Dec,2006 in the hospital.Results sino-bronchitis was about 48.85% among children with chronic cough.About 78.73% cases had red swelling of the nasal membrane and nasal discharging besides cough.among all the clinical manifestations.The rate of missed diagnosis of sino-bronchitis was 45.31% by detection of x-ray,and the rate of missed diagnosis of eso-ethmoiditis was high to 80.77%.Sino-bronchitis was a disease with localized suppurative inflammation.It also can be cured by giving antibiotics and local treatment.Its course of treatment was about 2-4 weeks.And cure rate was 100%.Conclusion sino-bronchitis was the first cause resulting in childhood chronic cough.more attention should be payed to the nasal symptom and examination of nasopharynx of patients with chronic cough,This disease can be definitely diagnosed by CT of accessory nasal cavity,and has good therapeutic efficacy.