儿童急性鼻窦炎合并严重颅内并发症2例

Acute sinusitis in children with severe intracranial complications:two cases report

1病例报告例1,患儿,男,9岁5个月,因发热、头痛伴呕吐14d入院。14d前患儿无明显诱因出现发热、头痛,最高体温40℃,伴恶心及喷射状呕吐,无呼吸困难、抽搐及意识障碍。于外院就诊,示白细胞30.8×10^9/L;头颅MRI提示：蛛网膜囊肿。外院诊断为：脑膜炎;蛛网膜囊肿。予头孢曲松抗感染,甘露醇降颅内压治疗,患儿情况好转,病情稳定,体温正常,无明显头晕、头痛、呕吐.

In the past year,two cases of acute rhinosinusitis have been treated in our department.The intracranial complications of acute sinusitis in children are rare in recent years,which is associated with the low immunity of children,and the untimely treatment of acute infection.The combination of CT and MRI examination can determine the type,scope,location of intracranial complications of acute sinusitis in children with acute sinusitis.Imaging examination is the key to diagnosis intracranial complications of acute rhinosinusitis.Surgical removal of lesions,combing with using sensitive antibiotics,can increase the cure rate of patients.