The clinical manifestations of children sinusitis

Children and adults Sinusitis Sinusitis similar clinical manifestations, Acute and chronic can be divided into two categories, but sinusitis symptoms in children than adults at heart. 　　 (1) Acute sinusitis: ① more acute onset of acute sinusitis, headache symptoms in adults and have children while systemic symptoms. Performance of high fever, dehydration, sleepiness, shortness of breath, antifeedant, there will be serious irritability, twitching. Respiratory infections are often accompanied by symptoms such as throat-ache, cough, children are not accurately describing the symptoms, not wipe their noses, so the nose often inverted into the trachea, bronchi, which led to aspiration pneumonia. ② children may have nasal obstruction, one or both sides partial flow and other symptoms, older children can describe the characteristics of headache if suffering from sinusitis, headache in the morning and get up heavier in the afternoon light, sometimes feel forehead pain, pain when coughing or wipe their noses increased significantly when the inspection frontal sinus tenderness, and some children v. side cheek toothache or pain. ③ anterior frontal bone thin children in the acute maxillary sinusitis often there will be the side cheek swelling, acute sinusitis symptoms similar to adults in general, if a serious infection can invade and cause conjunctivas orbital edema, thus eyeball downward displacement; acute ethmoid sinus inflammation, the symptoms are not obvious part. If serious infection, the Department will have the inner canthus redness. Sometimes children with acute sinusitis can be associated with acute otitis media, maxillary osteomyelitis, bloody nose or joint pain, and so on. 　　 (2) chronic sinusitis: ① partial symptoms: There are intermittent or recurrent nasal obstruction, runny nose or a mucus viscosity of purulent dominated, and often trailer attachment to the upper lip. Sometimes into the pharynx, no runny nose symptoms. Sometimes, there will be epistaxis, or eczema symptoms such as nasal vestibule nasolabial flushing, erosion, exudate. Headache and olfactory see fewer obstacles. ② systemic symptoms: children may have mental languish, or impetuosity irritability,poor physical wasting, stunting, low heat, purulent nasal secretions as obscene or hypopharyngeal backwards, children can be expressed as cough and nausea, vomiting, diarrhea and other gastrointestinal dysfunction symptoms. ③ with or following the onset symptoms: nasal obstruction due to recurrent, pediatric mouth breathing, so it will affect the long-term cheek and chest of development; child development have not yet complete, easy-proliferation sinusitis infection, inflammation invade adjacent organs and can lead to maxillary bone marrow Yan, laryngitis, chronic otitis media, cervical lymphadenopathy, conjunctivitis, dacryocystitis; throat protection for poor, vulnerable choke secretions into the trachea, bronchus result of lower respiratory tract infection. Chronic sinusitis can be a secondary anemia, rheumatism, joint pain, gastrointestinal or renal disease and easy, such as influenza and abdominal pain.