耳源性颅内并发症31例临床分析

• 作 者: 华一先 陈建萍 饶水金
• 机 构: 江西省人民医院
• 出 处: 江西医药
• 发表日期: 1995年04期
• 关键词: 脑脓肿 胆脂瘤型中耳炎 急性发作 颅内并发症 颞叶脓肿 耳流脓 临床分析 耳后骨膜下脓肿 乙状窦周围脓肿 骨疡型中耳炎

报告３１例耳源性颅内并发症，其大多数（７４．２％）是由胆脂瘤型中耳炎所引起，所有并发症中，耳源性脑脓肿占首位（６１．３％），究其原因可能为（１）患者在急性发作时，仅作了抗感染治疗，未作其他处理，治疗不彻底；（２）患者在急性发作后均已过５ｄ以上时间方来我院诊治已进入脓肿形成期。提示如患者有急性发作史，在乳突手术后，头痛、呕吐、神智改变无好转，要警惕脑脓肿的可能，要尽快做脓肿穿刺术，以防出现脑疝。

Reported 31 cases of ototoxic brain complications, most of them (74.2%) were caused by cholesteatoma otitis media, ear complications of all brain complications, ear brain abscess (61.3%), The reason may be: (1) patients in the acute attack, only made anti-infective treatment, no other treatment, the treatment is not complete; (2) patients in the acute attack have been more than 5d time to our hospital diagnosis and treatment has entered Abscess formation period. Tip If the patient has a history of acute attacks, mastoid surgery, headache, vomiting, no change in the mentally retarded, to guard against the possibility of brain abscess, abscess as soon as possible to prevent the emergence of hernia.