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慢性鼻窦炎是耳鼻喉科常见病、多发病,但以嗜睡、眩晕、痴呆、抽搐、昏迷等非典型表现就诊,造成诊治困难,现将资料较完整的200例分析如下。 1 临床资料 本组200例,男90例,女110例,年龄8～55岁。25岁以下150例,病程2～20年。临床表现:失眠、记忆力减退65例;嗜睡、精神萎糜41例;头痛、眩晕35例;表情痴呆30例;纳差、消瘦25例;长期低热、抽搐、昏迷4例。检查:180例有眼眶内上角及犬齿窝压痛。鼻镜检查:鼻道内脓性分泌物—中鼻道60例,上鼻道40例。X光鼻窦片180例,CT片20例,均显示鼻窦炎(粘膜肥厚、窦腔变小、混浊、
Chronic sinusitis is a common otorhinolaryngology, frequently-occurring disease, but drowsiness, dizziness, dementia, convulsions, coma and other atypical manifestations of treatment, resulting in diagnosis and treatment difficulties, now more complete data 200 cases are analyzed as follows. 1 Clinical data The group of 200 cases, 90 males and 110 females, aged 8 to 55 years. 150 under the age of 25, duration of 2 to 20 years. Clinical manifestations: insomnia, memory loss in 65 cases; drowsiness, mental wilt in 41 cases; headache, dizziness in 35 cases; expression dementia in 30 cases; anorexia, weight loss in 25 cases; long-term fever, convulsions, coma in 4 cases. Check: 180 cases of orbital upper horn and canine nest tenderness. Noseoscopy: purulent nasal secretions - in the middle of the nasal passages in 60 cases, 40 cases of the upper nasal passages. X-ray sinus 180 cases, 20 cases of CT, all showed sinusitis (mucosal hypertrophy, sinus smaller, turbid,