论文部分内容阅读
我们自1984年以来应用氧气直接充入上颌窦内治疗慢性化脓性上颌窦炎20例,收到较满意的疗效,报告如下。一、一般资料:本组20例中,男13例,女17例;双侧12例,单侧8例,计32个窦;年龄最小7岁,最大35岁,一般为20～30岁;病程最短半年,最长10年,其中以2～3年居多数。第一次穿刺分泌物最少1ml,最多10ml,一般为3～5ml;脓性分泌物13例,粘脓7例。细菌培养出甲型链球菌4例、流行感冒杆菌5例、肺炎双球菌2例、溶血性链球菌2例、无菌生长6例。二、治疗方法:使用17号普通上颌窦穿刺针,按常规上颌窦穿刺方法操作。首先抽出分泌物作细菌学培养,用消毒生理盐水冲洗干净。然后,用消毒的硬膜外麻醉用的塑胶管放
We have been using oxygen since 1984 directly filled the maxillary sinus in the treatment of 20 cases of chronic suppurative maxillary sinusitis, received more satisfactory results, the report is as follows. First, the general information: The group of 20 patients, 13 males and 17 females; bilateral in 12 cases, unilateral in 8 cases, accounting for 32 sinus; the youngest 7 years old, maximum 35 years old, usually 20 to 30 years old; The shortest duration of six months, the longest 10 years, of which 2 to 3 years majority. The first puncture secretions at least 1ml, up to 10ml, usually 3 ~ 5ml; purulent secretions in 13 cases, 7 cases of pus. Four strains of Streptococcus aureus, five strains of Streptococcus pneumoniae, two strains of Streptococcus pneumoniae, two cases of Streptococcus hemolyticus and six cases of aseptic growth were cultured in bacteria. Second, the treatment: the use of No. 17 ordinary maxillary sinus puncture, according to conventional maxillary sinus puncture method. First, extract the secretions for bacteriological culture, rinse with sterile saline. Then use a sterile plastic tube for disinfection of epidural anesthesia