本文要点鼻窦炎是初级医疗中的常见病急性鼻窦炎多数病例使用止痛药对症治疗后可好转慢性鼻窦炎如果药物治疗无效,可能需要转至耳鼻喉专科医生,以判断是否需要鼻内镜手术治疗仅有急性面部疼痛或头痛而没有其他鼻腔症状的病人很可能不像患有鼻窦炎如果怀疑有鼻-鼻窦炎并发症如眶内或颅内细菌感染并发症,应紧急转诊至专科医生 This article points Sinusitis is a common disease in primary care Acute sinusitis Most cases of painkillers symptomatic treatment can improve chronic sinusitis If the drug treatment is invalid, you may need to go to ENT specialists to determine whether the need for endoscopic sinus surgery Patients with acute facial pain or headache without other nasal symptoms are likely not to be as likely to have sinusitis If complications of rhinosinusitis are suspected, such as intraorbital or intracranial bacterial infection complications, emergency referral to a specialist