Children inspection and diagnosis of sinusitis What are the characteristics?

Because children sinusitis symptoms not obvious, Children do not know complained, with the inspection difficult, and sometimes symptoms of complications arise often, for the diagnosis more difficult than adults. Their diagnosis is mainly relying on history and examination. 　　 (1) in detail about history: in children suffering from a cold one week over the treatment of nasal obstruction, runny nose and other symptoms but not reduce heavier, blocked and yellow increase, should consider the possibility of sinusitis. (2) systemic symptoms than adults obvious: such as acute sinusitis may have a high fever and symptoms of poisoning, and even dehydration, convulsions, and sometimes may have nausea, vomiting, coughing, chronic sinusitis have low heat, sleepiness, loss of appetite owed Jia, weight loss, poor memory symptoms. (3) the nasal cavity and local checks: acute sinusitis, sinus adjacent soft tissue of red, swelling, tenderness and into the pharynx than adult common phenomenon, nasal inspection is very important, can be used in children before the nose for nose-examination, acute Acute sinusitis with nasal mucosal congestion, swelling; nasal cavity with a large number of,into the pharynx, and other common phenomenon than adults, we must meet pharynx checks to observe the posterior pharyngeal whether from the nose after Hole shed. Chronic sinusitis is visible nasal vestibule crust formation in pediatric inferior turbinate hypertrophy, with 1% ephedrine fluid examination after inferior turbinate contraction can be seen in the nasal olfactory sulcus, and have pus accumulation, inspection attention should be paid to the end of nose, nose the rear, in the nose and olfactory mucosa, there pus and redness, or whether the top of nasal polyps. (4) X-ray and CT scan: X-ray following the 5-year-old children with little diagnosis of sinusitis be with clinical symptoms, signs and history combine to be a valuable reference, slightly larger children Visibility turbidity, a liquid plane, mucosal thickening of more than 4 mm, or polyps or mucous cyst. A CT scan and ultrasound for the diagnosis of sinusitis children a better value. (5) Any other method such as thoroughly as washing and maxillary sinus puncture law applies only to older children.