论文部分内容阅读
作者们报告了鼻腔-鼻窦术后致化脓性脑膜炎10例。其中鼻腔及中隔成形术3例,鼻中隔成形术2例,经上颌窦筛窦切除术1例,筛窦切除术1例,翼管神经切除术1例,鼻腔、鼻窦乳头状瘤1例,双侧鼻息肉切除术1例。有4例为第二次复发脑膜炎,计10例共14次脑膜炎发作。致病菌培养为肺炎双球菌6例次,链球菌2例次,流感嗜血杆菌1例次,脑膜炎球菌1例次,细菌未生长4例次。手术到脑膜炎发生之间的潜伏期分两种:短者(数小时～8天),9例次原发性脑膜炎;长者(1年半～10年)5例次,其中1例可能是原发性脑膜炎,与手术有关。在脑膜炎期间行颅前窝断层X线摄片检查9例,4例示筛
The authors reported 10 cases of purulent meningitis after nasal-sinus surgery. Among them, nasal and septoplasty in 3 cases, nasal septoplasty in 2 cases, maxillary sinus ethmoid resection in 1 case, ethmoid sinus resection in 1 case, pterygoid nerve resection in 1 case, nasal cavity and nasal papilloma in 1 case, Bilateral nasal polyps resection in 1 case. There are 4 cases of recurrent meningitis for the second time, accounting for 14 cases of meningitis in 10 cases. The pathogenic bacteria were 6 cases of pneumococcus, 2 cases of streptococcus, 1 case of Haemophilus influenzae, 1 case of meningococcus and 4 cases of bacteria not growing. The incubation period between surgery and meningitis is divided into two types: short (a few hours to 8 days), 9 cases of primary meningitis; the elderly (1 year and a half to 10 years) in 5 cases, of which 1 case may Is a meningitis, and surgery. During the period of meningitis line of anterior cranial fossa X-ray examination in 9 cases, 4 cases of screening