幼儿鼻窦炎

2016-09-28 17:03 阅读: 编辑:sunyoung 来源:家有宝宝
标签: 幼儿鼻窦炎
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内容简介:幼儿鼻窦炎较为常见,近年来颇受重视。其病因、症状、诊断和治疗与成人者不尽相同。各窦之发病率与其发育先后不同有关
       上颌窦和筛窦较早发育,故常先受感染,额窦和蝶窦一般在2—3岁后才开始发育,故较迟受累。广州仁爱医院耳鼻喉科专家介绍说,儿童鼻窦炎的诊断比较困难,鼻窦CT对成人鼻窦炎有重要的诊断价值。儿童鼻窦炎的诊断主要依据病史分析和细致的临床检查。儿童鼻窦炎的症状与成人不同,咳嗽、鼻漏及慢性中耳炎在儿童常见,成人则表现为慢性头痛、鼻阻塞及异常引流。治疗幼儿鼻窦炎专家推荐姜氏鼻炎膏,中草药配方,效果确切,治愈后不复发。幼儿鼻窦炎患者平时多运动,提高身体素质。
 
幼儿鼻窦炎

       一、外治验方 

       治疗幼儿鼻窦炎专家推荐姜氏鼻炎膏,此验方创制于清光绪年间,系纯天然中草药经研磨熬制而成,是姜氏中医世家百年留传的中药外用治疗幼儿鼻窦炎验方。用于鼻炎、幼儿鼻窦炎、鼻窦炎、鼻甲肥大、鼻息肉等鼻腔问题的治疗。

       此方近十年略统计用药10000余例,总有效率可达99%,且治愈后不复发。可以淘宝网购。用法是外用,打开塑料胶囊壳,用一层纱布(配有专用纱布)包裹软膏,拧成条状塞入鼻孔合适深度;白天用一次日用膏,晚上用一次夜用膏;每个鼻孔各用一粒软膏,每粒软膏使用1-2小时;两个鼻孔可以同时塞,也可以交替塞;日用装重在治疗排毒,夜用装重在修复。

       二、症状体征 

  1、急性鼻窦炎 早期症状与急性鼻炎或感冒相似,但全身症状较成人明显。故除鼻塞、脓涕多外,可爱发热、脱水、精神萎靡或烦躁不安、呼吸急促、拒食、甚至抽搐等表现。常同时伴有咽痛、咳嗽;也可伴发急性中耳炎、鼻出血等;较大儿童可能主诉头痛或一侧面颊疼痛。

  2、慢性鼻窦炎 主要表现间歇性或经常性鼻塞,粘液性或粘脓性鼻涕,常频发鼻出血。病情严重和病程迁延者可表现有精神不振,畏纳差,体重下降或低热,甚者可能继发贫血、风湿、关节痛、感冒、胃肠或肾脏疾病等全身性疾病。由于长期鼻阻塞和张口呼吸,导致患儿颌面、胸部以及智力等发育不良。


       三、危害 

       
1、引起咳嗽

       孩子患了鼻炎,通常不能准确的表达自己的症状,也不会擤鼻涕,导致鼻涕倒流进入气管、支气管,从而引起反射性咳嗽,以便将鼻涕咳出来。家长们看到这种症状,往往就认为是咽喉炎。

       并且,如果小儿鼻炎时间过长,这种反射性咳嗽性质就变了,因为咳嗽神经长时间处于兴奋状态,导致咳嗽不再是反射性咳嗽,变成单纯的咳嗽。找不到咳嗽的真正原因,不能从根源治疗的话,吃止咳药是没有什么效果的。

       2、引起智力障碍

       鼻炎看似小病,但因发炎部位毗邻中耳以及病变比较隐蔽,因此鼻炎病人除可能合并有哮喘、头痛、头晕等症状外,如不及时治疗,有可能造成孩子不同程度的智力障碍。

       3、引起支气管哮喘

       少数小儿先有哮喘,常发现在幼儿时,数年后才出现鼻部症状,此时哮喘可能仍在发作,也可能已经没有临床表现了。支气管哮喘发作主要表现为呼气性呼吸困难,并有哮鸣音;严重者伴有胸闷、憋气,不能平卧,常取端坐位或半坐位以帮助呼吸。

       四、治疗方案 

       急性者应及早全身应用足量抗生素以控制感染,鼻局部应用鼻粘膜收缩剂(禁用鼻眼净)以利鼻腔和鼻窦通气引流。较年长患儿在应用鼻粘膜收缩剂后,可给予鼻蒸气吸入和局部热敷。此外,需注意休息和给予营养丰富、易于消化的食物。如合并有并发症者,则应同时治疗。广州仁爱医院耳鼻喉科专家介绍说,慢性者在一般治疗的同时,尚可考虑给予鼻窦置换法,此法对筛窦炎和全鼻窦炎者效果较佳。亦可辅以物理疗法。特应性体质者可结合抗变态反应疗法。对患慢性上颌窦炎的较大儿童,亦可考虑采用上颌窦穿刺冲洗去,冲洗毕后可向窦腔内注入抗生素溶液。考虑到大部分慢性上颌窦炎患儿可能与局部免疫缺陷有关,故亦可向窦腔内注入0.2%—0.5%左旋咪唑和抗生素的混合液。儿童鼻窦炎经适当治疗后大多可以康复,一般不采取手术治疗。
标签: 幼儿鼻窦炎
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