颞骨过度气化并感染性休克1例并文献复习

doi:10.6040/j.issn.1673-3770.0.2024.009

摘要/Abstract

摘要： 目的探讨因为中耳炎感染继而扩展到过度气化的岩部及枕骨出现感染性休克所采取治疗的手术方式,且一并研究颞骨过度气化的发病原因。方法明确诊断后,全麻行“乳突探查+开放式乳突切除+岩尖颅底脓肿引流术”,由于出院后出现不干耳,再次全麻行“左侧腹壁脂肪颅底气房填塞+外耳道封闭术”。回顾总结颞骨过度气化患者感冒导致中耳炎出现感染性休克的临床资料并文献复习。结果患者术后切口二期愈合,随访两年无复发。结论颞骨、枕骨过度气化并感染性休克极为罕见,尽早手术、进行脓肿引流是治疗的主要方式。

关键词: 颞骨过度气化, 感染性休克, 乳突切除术, 脓肿引流术, 耳源性乙状窦血栓性静脉炎

Abstract: Objective To investigate the surgical treatment of infectious shock due to otitis media infection which extended to the hyperpneumatized rock and occipital bone, and to study the pathogenesis of temporal bone hyperpneumatization at the same time. Methods After the diagnosis was clarified, "mastoid exploration + open mastoidectomy + rocky tip skull base abscess drainage" was performed under general anaesthesia, and due to the emergence of a dry ear after discharge from the hospital, "left ventral wall fat skull base airspace tamponade + external ear canal closure" was performed under general anaesthesia again. The clinical data of otitis media with infectious shock due to cold in patients with temporal bone hyperpneumatisation were reviewed and the literature was reviewed. Results The patient's postoperative incision healed in second stage and there was no recurrence in two years of follow-up. Conclusion Temporal bone and occipital bone hypercavitation with toxic shock is extremely rare,and early surgery and abscess drainage are the mainstay of treatment.

Key words: Temporal bone hyperpneumatization, Infectious shock, Mastoidectomy, Drainage of an abscess, Otogenic sigmoid sinus thrombophlebitis

中图分类号:

R764.9+2

谢羡,陈义,刘斌,肖旭平,李湘胜. 颞骨过度气化并感染性休克1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2025, 39(5): 108-113.

XIE Xian, CHEN Yi, LIU Bin, XIAO Xuping, LI Xiangsheng. A case of temporal bone hypercavitation with infectious shock and review of the literature[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2025, 39(5): 108-113.

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