本文提出由于儿童期上颌窦发育特点及解剖关系与成人有异(详见下表)。因而提出化脓性上颌窦炎发生在儿童期时应鼻腔滴用麻黄素以保持鼻腔鼻窦引流畅通,并根据鼻腔分泌物细菌培养加药敏试验的检查结果进行全身应用足量细菌敏感药物治疗,而奔去上颌窦穿刺这一传统的治疗方法。其依据如下: 上颌窦在儿童期其底部几乎与具鼻部相平行,窦内纤毛朝向窦口,因而当窦内有炎症时如能保持窦口 This article suggests that due to the characteristics and anatomy of childhood maxillary sinus development and adults are different (see table below). It was proposed that purulent maxillary sinusitis should be nasally dripped with ephedrine to keep the nasal cavity and sinus drainage open during childhood. According to the nasal secretions bacterial culture plus drug susceptibility test results, whole body application of adequate bacterial-sensitive drug treatment, and Ben went to the traditional treatment of maxillary sinus puncture. Its basis is as follows: the maxillary sinus at the bottom of its childhood almost parallel with the nose, sinus cilia toward the ostium, so when the sinus inflammation, such as to keep the ostium