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作者对1971~1988年经手术证实的与耳鼻有关的硬膜下积脓(SDE)13例进行复习。病人年龄为1~52岁,21岁以下9例,男性8例,女性5例。疾病早期有头痛、恶心、呕吐、虚性脑膜炎、发热,如就诊或诊断延误上述症状进而发展为精神状态改变、病灶性神经学缺陷、局灶性或全身性发作。从症状发生到手术间隔为1~18天,平均4天。使易发病因素包括鼻窦炎10例,乳突炎2例,中耳炎1例。全部病人 CT 扫描均显示支持 SDE 诊断的阳性变
The authors reviewed 13 cases of surgically-proven subdural empyema (SDE) associated with otolaryngology from 1971 to 1988. The patient was 1 to 52 years old, 9 under 21 years old, 8 males and 5 females. Early disease headache, nausea, vomiting, meningitis meningitis, fever, such as treatment or diagnosis of these symptoms and further delay the development of mental status changes, focal neurological deficiencies, focal or generalized seizures. From the onset of symptoms to surgery interval of 1 to 18 days, an average of 4 days. So easy to risk factors, including sinusitis in 10 cases, 2 cases of mastoiditis, otitis media in 1 case. CT scans of all patients showed positive changes in support of SDE diagnosis