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糖尿病可降低免疫功能,引起较严重的及难以治愈的感染。本文报导15例糖尿病急性鼻窦炎,并讨论发病机理,阐述治疗纲要。本组年龄为26～71岁,平均52岁,女性9例,男性6例。10例需胰岛素治疗,5例以口服药物或仅饮食治疗。感染最常见部位是上颌窦73%。11例病人上颌窦穿刺脓培养结果,最常见的细菌是链球菌,次为金黄色葡萄球菌。15例中3例门诊口服抗生素10～14天治愈,2例病人拒绝住院失去随访,10例住院静脉滴注抗生素,
Diabetes can reduce immune function, causing more serious and difficult to cure infections. This article reports 15 cases of diabetic acute sinusitis, and discusses the pathogenesis, elaborating the outline of treatment. The age group of 26 to 71 years, mean 52 years, 9 females, 6 males. 10 patients required insulin therapy, 5 patients were treated with oral medication or diet alone. The most common site of infection is maxillary sinus 73%. 11 patients with maxillary sinus puncture results, the most common bacteria is streptococcus, times for Staphylococcus aureus. Of the 15 cases, 3 cases of out-patient oral antibiotics were cured from 10 to 14 days, 2 cases of patients refused to be hospitalized, 10 cases of hospitalized intravenous antibiotics,