儿童鼻窦炎临床误诊原因分析

儿童鼻窦炎临床误诊原因分析

王然然;肖向丽;丁锋;秦莉

【期刊名称】《中国中西医结合儿科学》

【年(卷),期】2016(008)006

【摘要】Objective To explore the causes of misdiagnosis of sinusitis in children,in order to im-prove the ability of diagnosis and differential diagnosis and to reduce the errors.Methods Totally 92 cases of children with sinusitis were misdiagnosed as other diseases,who were from the Department of Pediatrics, the Red Cross Hospital of Wuhan,and the Department of Otolaryngology,Hankou Hospital of Wuhan,be-tween January 2013 to October 2015.The cases data were analyzed.Results Totally 72 cases(78.3%)were confirmed as sinusitis by endoscopy or electronic nasopharyngoscope examination among which 12 cases were complicated with adenoid hypertrophy,7 cases with allergic rhinitis and 9 cases with secretory otitis media and 2 cases with tonsil hypertrophy.The remained 20 cases(21.7%)were diagnosed as sinusitis by sinus CT examination.Conclusion Sinusitis in children is often misdiagnosed,because of children's lack of cooper-ation,which results in a lack of comprehensive and systemic examination,and the lack of the comprehensive analysis of the condition,and the reasons of the failed treatment were not investigated,either.Clinicians should make a detailed inquiry of the medical history,carefully check the body,improve the