鼻源性海绵窦感染与化脓的处理

The treatment of rhinogenous cavernous sinus infection and abscess

海绵窦感染以鼻源性多见。由于抗生素的有效应用其发病率有所降低,一经感染则其死亡率与病残率均较高。作者于近20年来搜集到12例,7例被抗生素控制。5例已形成化脓,除其中1例病情急剧未能救治外,其余4例已化脓,通过穿刺与开畅引流通道等处理均获痊愈,但仍有病残。提出了脓肿引流的时机与处理,可供临床家应用。

Cavernous sinuse infection mostly come from rhinogenic source. The mortalityrate of the cavernous infection has been greatly decreased since the effective use ofantibiotics. However, whenever the septic infection is established, the rate of morta-lity and morbidity are still a hazarous problem. We collected 12 cases from 1969～1988. Among those 12 cases,7were well controlled by antibiotics, and 5 had abscessformation. 4 of the 5 cases underwent successive drainage by aspiration and opendrainage. whereas 1 cases died because of acute, fulminant septic spreading. Thispaper emphasizes the proper time and anatomic route of puncture and drainage, whichwill give high survival rate.