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婴儿上颌骨骨髓炎好发于3个月以内的婴儿,其原因与新生儿上颌骨的解剖结构有关。本文报道6例患儿,年龄在15天～6月,诱因为急性鼻炎,鼻中隔脓肿,口腔粘膜擦伤及牛痘感染等,脓液培养以金黄色葡萄球菌为主。临床表现为高热、鼻塞、流脓涕,患侧面颊、牙龈、硬腭红肿或痿管形成,本组有1例出现眼险红肿,眼球突出,应与眼眶蜂窝织炎作鉴别。X线片不是唯一可靠的诊断方法。本病应预防为主,在治疗中为防止感染扩散,早期应给予适量的有效的抗生素。
Infant maxillary osteomyelitis occurs in infants less than 3 months due to the anatomy of the maxillary bone in the newborn. This article reports 6 cases of children, aged 15 days to 6 months, the incentive for acute rhinitis, nasal septal abscess, oral mucosal abrasions and vaccinia infections, pus culture Staphylococcus aureus. Clinical manifestations of high fever, nasal congestion, purulent tears, ipsilateral cheeks, gums, hard palate swelling or fistula formation, the group of 1 case of eye irritation, prominent eye, and orbital cellulitis for differentiation. X-ray is not the only reliable diagnostic method. The disease should be prevented mainly in the treatment to prevent the spread of infection, early should be given the right amount of effective antibiotics.