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頁籤選單縮合
| 題 名 | Meningitis in a Patient after Immediate Endoscopic Repair of Cerebrospinal Fluid Rhinorrhea--Case Report=立即內視鏡修補腦脊髓液鼻漏併發腦膜炎--病例報告 |
|---|---|
| 作 者 | 江榮山; 吳尚衡; 溫凰全; 許振益; | 書刊名 | 中華民國耳鼻喉科醫學雜誌 |
| 卷 期 | 36:3 民90.05-06 |
| 頁 次 | 頁198-201 |
| 分類號 | 416.855 |
| 關鍵詞 | 腦脊髓液鼻漏; 內視鏡修補; 內視鏡功能性鼻竇手術; 腦膜炎; Cerebrospinal fluid rhinorrhea; Endoscopic repair; Functional endoscopic sinus surgery; Meningitis; |
| 語 文 | 英文(English) |
| 中文摘要 | 一名68歲男性病患因慢性鼻竇炎合併鼻息肉住院接受內視鏡功能性鼻竇手術。不 幸,在手術時發現腦脊髓液從左篩竇頂溢漏出來。我們立即用下鼻甲自由黏膜骨膜瓣在內視 鏡下經鼻腔來修補溢漏。手術後,他抱怨頭痛,噁心及嘔吐。經腦脊髓液檢查診斷併發腦膜 炎。抗生素改投與 oxacillin 及 ceftrixone。 病患情況獲得改善。經第 2 次利用自由黏 膜骨膜瓣在內視鏡下經鼻腔來修補溢漏,病患在無任何後遺症下出院。當立即內視鏡修補腦 脊髓液鼻漏已經成為一個普遍且成功率高的手術,尚未曾有腦膜炎導致手術失敗手術的報告 。這個病例報告立即內視鏡修補腦脊髓液鼻溢漏失敗導致腦膜炎。 |
| 英文摘要 | A 68 year-old man was admitted for functional endoscopic sinus surgery for treatment of chronic paranasal sinusitis with nasal polyposis. Unfortunately, cerebrospinal fluid (CSF) leakage was noted over the left ethmoid roof during surgery. Repair of the leakage was immediately performed transnasally with a free mucoperiosteal graft from the inferior turbinate endoscopically. After surgery, the patient complained of headache, nausea, and vomiting. Meningitis was diagnosed after CSF analysis. Antibiotics were changed to oxacillin and cetriaxone with subsequent improvement in the patient's condition. The patient was discharged without any sequelae after endoscopic repair of the CSF rhinorrhea with a second free mucoperiosteal graft. Immediate endoscopic repair of CSF rhinorrhea has become a popular procedure with hihg success rates, and to date the complication of meningitis has not been reported. This case indicates that meningitis can result in failure of immediate endoscopic repair of CSF rhinorrhea. |
本系統中英文摘要資訊取自各篇刊載內容。