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摘要


急性鼻及鼻竇炎(acute rhinosinusitis)是一種影響鼻腔和鼻竇的發炎性疾病,且持續時間在12周以內。其主要的形成原因是病毒感染,少數病患可能發展成細菌感染。雖然急性鼻及鼻竇炎通常是一種自限性的疾病,轉變成慢性或引起併發症的發生率很低,但是仍然對生活品質有顯著影響。臨床上該疾病可分成三種類型:急性病毒性鼻及鼻竇炎(acute viral rhinosinusitis)或普通感冒(common cold)、急性病毒感染後之鼻及鼻竇炎(acute post-viral rhinosinusitis)以及急性細菌性鼻及鼻竇炎(acute bacterial rhinosinusitis)。區分不同類型的急性鼻及鼻竇炎,並且給予適當的診斷及治療需求,避免濫用診斷工具和過度開立藥物處方,是臨床上重要的課題。

並列摘要


Acute rhinosinusitis (ARS) is an inflammatory disease that affects the nasal cavity and paranasal sinuses for less than 12 weeks. The main cause is a viral infection, and a small number of patients eventually develop bacterial infection. Although ARS is usually a self-limiting disease with a low incidence of chronicity or complications, it still has a significant impact on quality of life. ARS can be divided into three types: acute viral rhinosinusitis or the common cold, acute post-viral rhinosinusitis, and acute bacterial rhinosinusitis. It is important to distinguish between the different types of ARS, provide appropriate diagnostic and therapeutic aid, and avoid overuse of diagnostic tools and drugs.

延伸閱讀


  • 蘇俊賓、黃威雄、張文源、洪培凱、賴美珠(2005)。急性鼻及鼻竇炎之細菌抗藥性台灣醫學9(5),577-583。https://doi.org/10.6320/FJM.2005.9(5).02
  • 李健源、方深毅(2007)。慢性難治性鼻竇炎台灣耳鼻喉頭頸外科雜誌42(),101-111。https://doi.org/10.6286/2007.42.s_1.101
  • 洪敏元(1979)。急性鼻炎當代醫學(69),656-660。https://doi.org/10.29941/MT.197907.0016
  • 何青吟(2007)。Medical Treatment for Rhinosinusitis台灣耳鼻喉頭頸外科雜誌42(),26-33。https://doi.org/10.6286/2007.42.s_1.26
  • 趙勻廷、葉建甫、洪莉婷、藍敏瑛(2020)。Complications of Rhinosinusitis台灣耳鼻喉頭頸外科雜誌55(),33-42。https://doi.org/10.6286/jtohns.202012/SP_55.0005

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