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硬膜下或硬膜外积脓常由脑膜或鼻窦炎症直接扩散所致,其中鼻窦炎引起的占年长儿病例中的50%～70%。因临床表现不典型,常延误诊断。方法查找1975～1991年澳大利亚某儿童医院出院诊断为硬膜下、硬膜外、颅内积脓或脓肿,以及鼻窦炎或颅前部骨髓炎的病例,然后根据X光检查或/和手术发现有硬膜下或硬膜外积脓以及鼻窦炎者则可确诊。结果共10例,其中7例为硬膜下积脓,2例为硬膜外积脓,1例二者都有。年龄6～14岁(平均11岁)。7例为男孩。入院时有头痛(10例),发热(9例),神经系统症状(8例),嗜睡、惊厥及眶周水肿各2例,头部脓疱1例。10例均有鼻窦部疼痛或脓性鼻
Subdural or epidural empyema often caused by the direct diffusion of meningeal or sinus inflammation caused by sinusitis accounted for 50% to 70% of cases in older children. Due to clinical manifestations are not typical, often delayed diagnosis. Methods To find out cases of subdural, epidural, intracranial empyema or abscess, as well as sinusitis or cranial osteomyelitis, which were discharged from a children’s hospital in Australia from 1975 to 1991, and then diagnosed on the basis of X-ray examination and / or surgery Have subdural or epidural suppurative and sinusitis who can be diagnosed. Results A total of 10 cases, of which 7 cases of subdural empyema, 2 cases of epidural empyema, 1 case of both. Age 6 to 14 years (mean 11 years old). 7 cases for boys. There was headache (10 cases), fever (9 cases), neurological symptoms (8 cases), lethargy, convulsion and periorbital edema in admission, and 1 case of pustular head. Ten patients had sinus pain or purulent nose