脓毒性海绵窦侧窦血栓:现代诊断与治疗原则

• 作 者: 杨劲松 郭养源
• 出 处: 国外医学.耳鼻咽喉科学分册
• 发表日期: 1990年03期
• 关键词: 海绵窦 静脉窦栓塞 侧窦栓塞 喉科医师 矢状窦 岩上窦 血栓静脉炎 岩下窦 耐药菌 横窦

颅内的脓毒性静脉窦栓塞按其解剖部位分为矢状窦栓塞、海绵窦及侧窦栓塞,后者包括横窦、乙状窦、岩上窦和岩下窦。海绵窦、侧窦检塞最常见,且与耳鼻喉科医师关系密切。本病在抗生素问世前死亡率几乎达100％。自磺胺及抗生素应用后,死亡率虽大为下降,但因耐药菌株的增加,目前死亡率仍较高。所以尽早确诊及治疗对其预后极为重要。

Intracranial septic sinus embolism according to their anatomic site is divided into sagittal sinus embolism, cavernous sinus and lateral sinus embolism, which includes the transverse sinus, sigmoid sinus, petrous sinus and petrosal sinus. Cavernous sinus and lateral sinus septum are the most common and closely related to otolaryngologists. The disease died of antibiotics almost 100% before the advent of the disease. Since the use of sulfonamides and antibiotics, although the mortality rate dropped significantly, but due to the increase of drug-resistant strains, the current mortality rate is still high. So early diagnosis and treatment of their prognosis is extremely important.