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作者在一组141例慢性上颌窦炎患儿中,发现26例(3～7岁,男16,女10例)抗治(疗效不好)病例,其诊断标准为:至少持续存在3个月的化脓性鼻窦炎,前鼻镜检证实及常规X线片有上颌窦的部分或全部昏暗,经采用羟氨苄青霉素250mg,每日3次,共10天治疗,上颌窦引流或羟氨苄青霉素加引流治疗,必要时补充以抗生素或腺样体切除,以后在一年半内按上述标准复查3次。26例均无腺样体增殖、中隔偏曲及下呼吸道感染等。对上述26例患儿随访6年3个月,结果除2例仍有慢性上颌窦炎,2例仅偶有鼻炎,余
In a group of 141 children with chronic maxillary sinusitis, 26 patients (3-7 years old, 16 males and 10 females) were found to be resistant (ineffective) with a diagnostic criteria of at least 3 months Of the purulent sinusitis, before the end of nasal examination and routine X-ray films have some or all of the maxillary sinus dark, the use of amoxicillin 250mg, 3 times a day for a total of 10 days treatment, maxillary sinus drainage or amoxicillin plus Drainage treatment, if necessary, to add antibiotics or adenoid excision, after a year and a half in accordance with the above standard review 3 times. 26 cases had no adenoid proliferation, septal deviation and lower respiratory tract infection. The above 26 cases of children were followed up for 6 years and 3 months, the results were 2 cases of chronic maxillary sinusitis, only 2 occasional rhinitis, more than