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1、耳鼻咽喉-头颈外科学潘世恺内容鼻前庭炎鼻疖鼻炎鼻中隔疾病鼻异物鼻前庭炎Vestibulitisofnose鼻前庭皮肤的弥漫性炎症。Etiology(病因):Irritationofrhinorrheaanddust(分泌物和灰尘);secondarytoskininfection(挖鼻)患糖尿病者易发。鼻前庭Symptoms&Sign(症状和体征)Red,swellingandulcerativeskin,crustinginsidethevestibule,tendernessofthenasaltiporala.A
2、cute——antibioticointment,thermotherapyorinfraredChronic——3%H2O2,antibioticointmentTreatment:鼻前庭炎(急性)鼻前庭炎(慢性)鼻疖Furuncleofnose鼻前庭或鼻尖部的毛囊、皮脂腺或汗腺的局限性急性化脓性炎症。Etiology金黄色葡萄球菌。Secondarytochronicvestibulitis.Diabeticsandweaklingswillbesubjecttothedisease.FuruncleofnoseS
3、ymptoms&Sign:Redness,swelling,heat,andpain;mature—ulcerate.Seriouscases:Phlegmon(蜂窝织炎)FuruncleofnoseComplications(并发症):Thrombosisofcavernoussinusandcranialinfection(海绵窦栓塞和颅内并发症)出现眼部症状和剧烈头痛Notmature:antibiotic,physiotherapyMature:drainage(排脓),DonotcrashandpressUl
4、cerate:drainage,antibioticTreatment:FuruncleofnoseComplications:antibiotics,callophthalmologist(眼)andneurologistforassistance鼻疖蜂窝织炎Acute&chronicinflammationsofthenasalcavitiesAcuterhinitisCommoncold(coryza)病毒感染引起的鼻腔粘膜急性炎症性疾病。EtiologyRhinoviruses,influenza¶in
5、fluenzaviruses.adenoviruses,coronaviruses,Causes(诱因):generalfactors:受凉localfactors:鼻腔慢性疾病;邻近的感染病灶。Symptoms&Sign:Sneezing,nasalobstruction,malaise(不适),fever.Nasalmucosacongestion,swelling,secretioninmeatus.Complications:1、Sinusitis2、Acuteotitismedia(中耳炎)infection
6、passthroughtheEustachiantube(咽鼓管)tomiddleear3、Acutepharyngolaryngitis,trachitis&bronchitisDifferentialDiagnosis(鉴别诊断)1、Influenza2、Allergicrhinitis(变应性鼻炎)3、Vasomotorrhinitis(血管运动性鼻炎)4、AcuteinfectiousdiseaseTreatmentGeneraltreatment:发汗,中成药,抗生素,及休息。Localtreatment:
7、减充血剂急性病毒性鼻炎初期急性病毒性鼻炎中期急性病毒性鼻炎(恢复期)急性病毒性鼻炎(合并感染)ChronicrhinitisEtiology:非感染性疾病Localcauses:1、Acute----chronic,2、Chronicdiseasesofnose&sinus,3、Infectivefocusaroundnasalcavity,4、Iatrogenic(医源性):misusenasaldropsProfessionalandenvironmentalcauses:Dustsharmfulchemicalg
8、asphysicalchangesGeneralfactors:1、chronicdiseases,2、malnutrition,3、endocrinicdysfunction(内分泌失调)4、cigaretteandalcoholPathology:Chronicsimplerhinitis——nohyperplasia(无增生