鼻多和鼻腔炎的情况
JAMA
|December 13, 1997
概括
鼻和鼻炎涉及复杂的病原体,而过敏并不是主要原因. 治疗包括类固醇,抗生素,以及对抗性病例的潜在手术.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 免疫学 免疫学 免疫学
背景情况:
- 鼻息肉有很长的历史,但它们的发病率和发病因子仍然不清楚.
- 过敏常常与此有关,但有证据表明它们不是鼻的首要原因.
- 慢性鼻炎是美国普遍存在的疾病,具有微妙的临床表现.
研究的目的:
- 为了澄清鼻和慢性鼻炎的发病原因.
- 审查目前对鼻炎的医疗和手术治疗选择.
- 为了突出慢性鼻炎的诊断方式.
主要方法:
- 审查有关鼻和鼻炎的现有文献.
- 讨论导致鼻炎发病的因素,包括骨体大小,分泌物和粘膜作用.
- 对诊断成像技术的评估,特别是有限的冠状电脑断层扫描.
主要成果:
- 证据挑战了普遍认为过敏是导致鼻多的主要原因的信念.
- 医疗管理涉及全身和鼻内类固醇.
- 计算机断层扫描是一种确切且具有成本效益的鼻炎诊断工具.
结论:
- 鼻炎的发病过程涉及骨尺寸的减少,分泌物保留和粘膜细胞作用的受损.
- 及时和适当的抗生素治疗对于鼻炎至关重要.
- 功能性内镜外科手术是医疗耐药性鼻炎的首选选择.
相关概念视频
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