目的 :探讨提高急诊期鼻窦骨折的诊断及治疗水平。方法 :对 70例鼻窦骨折患者按骨折情况分型 ,并对部分病例采用上颌窦骨折复位固定及经鼻窦内窥镜手术复位的方法处理。结果 :复位 2 4例 ,满意 2 2例 ,基本满意 2例。结论 :为明确诊断 1除局部征象外应注意眼的症状和体征 ;2鼻窦 CT应列为常规检查 ;3注意眶底骨折及鼻筛骨折以及并发的其它严重损伤。治疗建议按骨折情况分型及处理 Objective: To investigate the diagnosis and treatment of sinusitis in emergency department. Methods: Seventy patients with sinus nodal fractures were classified according to the fracture type, and some cases were treated by reduction and fixation of maxillary sinus fracture and endoscopic sinus surgery. Results: 24 cases were reset, 22 cases were satisfied, and 2 cases were basically satisfied. Conclusion: In order to confirm the diagnosis of a local symptoms in addition to the symptoms and signs should pay attention to; 2 sinus CT should be classified as routine examination; 3 pay attention to orbital floor fracture and nasal screen fracture and other serious complications. Treatment according to fracture classification and treatment