摘要
目的:探讨中耳炎颅内外并发症的临床特点和处理方法。方法:回顾性分析四川省人民医院耳鼻咽喉头颈外科2005-2014年间收治的320例急慢性中耳炎患者的临床资料。本组34例有并发症的患者中,单项并发症25例,2项并发症8例,3项并发症1例,共计44例次。迷路炎14例次,周围性面瘫11例次,耳后骨膜下脓肿6例次,颈部贝佐尔德脓肿1例次,乙状窦血栓性静脉炎2例次,耳源性脑膜炎2例次,脑脓肿8例次。结果:治愈或好转33例,死亡1例。结论:由于抗生素的大量应用,中耳炎颅内外并发症发病更隐匿,症状体征更不典型,需引起足够的警惕和重视。外科手术是重要的治疗方法。
Objective：To study the clinical feature and treatment of extracranial and intraeranial complications caused by otitis media. Method：Three hundred and twenty patients of acute and chronic otitis media were admitted to our department between 2005 and 2014. Among them, 34 patients were diagnosed with extraeranial and in- tracranial complications. The clinical features and treatment outcome were retrospectively studied Of the 34 pa- tients associated with complications,25 had a single complication,8 had two complications and 1 had three compli- cations. Complications included labyrinthitis in 14 cases, facial paralysis in 11, postauricular subperiosteal abscess in 6, Bezold abscess in 1, thrombophlebitis of sigmoid sinus in 2, odtis meningitis in land orogenic brain abscess in 8. Result：Thirty-three patients were cured or improved and 1 patient died. Conclusion Due to the widespread use of antibiotics,the clinical manifestations of extracranial and intracranial complications of otitis media become more hidden and atypical. The surgery is the primary treatment method.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
北大核心
2015年第10期903-905,共3页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词
中耳炎
并发症
脑脓肿
otitis media extracranial and intracranial complications otogenic brain abscess
