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眶骨膜下脓肿(SPA)是鼻窦炎的严重并发症之一,能导致失明或死亡。在抗生素使用前,SPA的结局常常是失明、脑膜炎、脑脓肿、海绵窦血栓性静脉炎。尽管SPA的发生率小于1%,但其中有50%的病历出现部分或完全视力丧失。报道的3例SPA患者,年龄5~20岁,均行冠状和轴位CT扫描,眼科、神经科和鼻窦内镜检查。抗生素治疗48小时效果不佳的行FESS。手
Periorbital subperiosteal abscess (SPA) is one of the serious complications of sinusitis, which can lead to blindness or death. Prior to the use of antibiotics, the outcome of the SPA was often blindness, meningitis, brain abscesses, cavernous sinus thrombophlebitis. Although the incidence of the spasms is less than 1%, 50% of them have partial or complete loss of vision. The 3 SPA patients reported, aged 5 to 20 years, underwent coronary and axial CT scans, ophthalmology, neurology and sinus endoscopy. Antibiotic treatment for 48 hours ineffective line FESS. hand