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30例儿童(男17,女13)急性上颌窦炎,年龄1 (1/2)～16岁,其中半数在5岁以下。最常见的症状为咳嗽(24例)和鼻溢液(23例),且分别有8例和10例以之为主要症状。9例发热,10例有发热史,另11例无发热史;有严重头痛者10例,除1例外均大干5岁;9例有面部疼痛或肿胀,但作为主诉者仅2例,7例咽喉痛,但作为主诉者仅1例。学龄前儿童常有口臭(15例)。从23例所得的47窦抽吸物中,34窦菌落形成单位≥10~4/ml。最常见菌种为肺炎链球菌、流感嗜血杆菌和Branhamella卡他球菌,未分离出厌氧菌。仅从2窦抽吸物中分离出病毒。无论从鼻咽或咽喉培养得到的主要菌种同从鼻窦抽吸物分离出的细菌之间无任何相互关系。全部病例进行X线照相。4例一侧窦正常而另侧窦异常;38窦完全模糊,15窦粘膜增厚,3窦有空气-液平面。
30 cases of children (male 17, female 13) acute maxillary sinusitis, age 1 (1/2) to 16 years of age, of which half are under 5 years of age. The most common symptoms were cough (24 cases) and rhinorrhea (23 cases), with 8 and 10 cases as the main symptoms. 9 cases had fever, 10 cases had fever history, and the other 11 cases had no history of fever; 10 cases had severe headache, all except one case were 5 years old; 9 cases had facial pain or swelling, but only 2 cases were complained Cases of sore throat, but as a chief complaint only one case. Preschool children often have bad breath (15 cases). Of the 47 sinus aspirates obtained from 23 patients, 34 had a sinus colony-forming unit of ≥10 to 4 / ml. The most common strains are Streptococcus pneumoniae, Haemophilus influenzae and Branhamella cardococcus, and no anaerobic bacteria were isolated. Virus was isolated from 2 sinus aspirates only. There is no correlation between the major species obtained from the nasopharyngeal or throat culture and the bacteria isolated from the aspirate. All cases were radiographed. 4 cases of normal sinus and the other side of the other sinus abnormalities; 38 sinus completely obscured, 15 sinus mucosa thickening, 3 sinus have air - liquid level.