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作者经治10例儿童耳源性脑脓肿(男2,女8,6～15岁)。病因:急性化脓性中耳炎1例,慢性化脓性中耳炎9例,其中胆脂瘤型2例,骨疡型1例,胆脂瘤型+骨疡型6例。并发症种类:小脑脓肿8例,颞叶脓肿2例。合并其他并发症:乳突炎及乳突脓肿3例,硬膜外脓肿2例,脑积水1例。诊断检查方法:CT检查8例,脑血管造影2例。乳突手术术式:改良乳突根治术2例。乳突根治术5例。颅脑手术术式:颅骨穿刺抽吸术2例,颅骨穿刺+开颅术5例。隐匿型脑脓肿4例、小脑脓肿、颞叶脓肿各2例,术前无任何神经系统症状,均在乳突术后一周内出现神经系统症状和体
The author of 10 cases of children with otogenic brain abscess (male 2, female 8,6 to 15 years old). Etiology: acute suppurative otitis media in 1 case, chronic suppurative otitis media in 9 cases, including 2 cases of cholesteatoma, bone ulcer in 1 case, cholesteatoma + bone ulcer in 6 cases. Complications categories: 8 cases of cerebellar abscess, temporal lobe abscess in 2 cases. Combined with other complications: mastoiditis and papillary abscess in 3 cases, 2 cases of epidural abscess, hydrocephalus in 1 case. Diagnostic test methods: CT examination in 8 cases, cerebral angiography in 2 cases. Mastoid surgery: Modified radical mastoidectomy in 2 cases. Mastoid radical surgery in 5 cases. Craniotomy surgery: skull puncture aspiration in 2 cases, skull puncture + craniotomy in 5 cases. There were 4 cases of occult brain abscess, 2 cases of cerebellar abscess and 2 cases of temporal lobe abscess. There were no neurological symptoms before surgery,