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监护病室中长期鼻插管医原性感染是鼻窦炎的主要发病因素。鼻窦炎常为此类患者败血症的原发病灶。这些鼻窦炎常被漏诊,后果严重,CT可作为诊断和疗效随访的手段。作者一年内在监护病室发现鼻窦炎6例,其中男5例,女1例。年龄24～71岁。原发病有闭合性颅脑损伤4例,妊娠子癇发生颅内血肿1例,多发性骨折1例。5例有意识障碍。鼻窦炎与鼻气管插管有关者4例,插管留置3～16天;与经鼻插入较粗鼻胃管有关者2例,留管分别为17和18天。患病与机体抵抗力有关因素为使用激素者5例,患糖尿病者1例。6例均有发热,在寻找败血症病因时,
Long-term nasal catheterization in ICU is the main causative factor for sinusitis. Sinusitis is often the primary lesion of sepsis in such patients. These sinusitis are often missed, with serious consequences, CT can be used as a means of diagnosis and efficacy follow-up. In one year, the author found 6 cases of sinusitis in the intensive care unit, including 5 males and 1 female. Age 24 ~ 71 years old. Primary disease closed head injury in 4 cases, pregnancy eclampsia intracranial hematoma in 1 case, multiple fractures in 1 case. 5 cases of conscious disturbance. Nasal sinusitis and nasal tracheal intubation in 4 cases, intubation for 3 to 16 days; nasal cannulation with nasogastric tube in 2 cases, leaving tubes were 17 and 18 days. Factors related to the body’s resistance to illness and the use of hormones in 5 cases, 1 case of diabetes. 6 cases have fever, looking for the cause of sepsis,