最近审阅: 6 十一月 2020
最近更新: 04 八月 2020

小结

定义

病史和体格检查

关键诊断因素

  • 症状持续时间<10 天(急性病毒性鼻窦炎)
  • 症状持续时间>10 天,但<4 周(急性细菌性鼻窦炎)
  • 初次改善后症状恶化(急性细菌性鼻窦炎)
  • 脓性鼻分泌物
  • 鼻塞
  • 面部疼痛/发胀
  • 发作时症状严重(急性细菌性鼻窦炎)
  • 牙疼

其他诊断因素

  • 咳嗽
  • 肌痛
  • 咽痛
  • 嗅觉减退
  • 鼻甲水肿
  • 发热

危险因素

  • 病毒性上呼吸道感染
  • 变应性鼻炎
  • 胃食管反流病 (GORD)

诊断性检查

需考虑的检查

  • 鼻内镜检查
  • 鼻窦培养
  • 鼻窦 CT(非增强)
  • 鼻窦 X 线检查
  • 核磁共振成像 (MRI)
  • 颈侧 X 线检查
更多 需考虑的检查

治疗流程

撰稿人

Gordon H. Sun

Chief Medical Information Officer

Chief of Otolaryngology

Rancho Los Amigos National Rehabilitation Center

Downey

CA

利益声明

GS is a consultant with Partnership for Health Analytic Research, LLC and Gerson Lehrman Group, Inc for medical research and expert opinion work. GS is a contractor with Medscape for WebMD for writing healthcare-related articles.

Dr Gordon H. Sun would like to gratefully acknowledge Dr Melissa A. Pynnonen and Dr Joseph K. Han, previous contributors to this topic.

利益声明

MAP and JKH declare that they have no competing interests.

同行评议者展开全部内容

Instructor of Otology and Laryngology

Harvard Medical School

Massachusetts Eye and Ear Infirmary

Department of Otolaryngology - Head and Neck Surgery

Boston

MA

利益声明

BSB is a co-founder and equity shareholder in Luxxeal, Inc.

Assistant Professor/Consultant

Academic Medical Center

Amsterdam

The Netherlands

利益声明

CG declares that he has no competing interests.

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