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慢性鼻炎是儿童最常见慢性病之一,尤常见于学前儿童,且常为化脓性者,文献记载很少,多未予特殊治疗。Pearlman曾认为其病因与反复病毒感染或IgA缺乏有关。在3～6个月治疗及随访期内,对151例患儿进行了观察,随访将之分为二组,75例采用抗组织胺(AH)药治疗(mebhydrolin硷),另76例用抗生素(AB)治疗,所用药为磺胺甲基异恶唑加磺胺增效剂10天后改为半量服药10天,如上述治疗无效时,AH组改用息斯敏,AB组改用细菌敏感的其他抗生素。治疗后3～6月内每月随访一次。治疗前本组患儿中101例诊断为化脓性鼻炎(分泌物稠,呈黄绿色),大多系6岁以下学前儿童,占78%;50例有水样分泌物,
Chronic rhinitis is one of the most common chronic diseases in children, especially pre-school children, and often suppurative, documented little, and no special treatment. Pearlman once thought its etiology was associated with recurrent viral infections or IgA deficiency. During the 3 to 6 months treatment and follow-up period, 151 children were observed and divided into two groups. 75 cases were treated with antihistamine (mebhydrolin base) and 76 cases were treated with antibiotics (AB) treatment, the drug used is sulfamethoxazole plus sulfonamide synergist 10 days to half the amount of medication for 10 days, such as the above treatment is invalid, AH group to use astemizole, AB group to use bacteria-sensitive other antibiotic. 3 months after treatment, monthly follow-up once. Before treatment, 101 cases were diagnosed as suppurative rhinitis (thick yellowish green) in most of the children, most of them were 78% of preschool children under 6 years old. Fifty cases had watery secretions,