With the continuous improvement of living standards, children have become a high incidence of sinusitis. Because children are still young and their immunity is relatively poor, how to diagnose sinusitis in children has become a concern for many parents. Let the side tell you in detail how to diagnose sinusitis in children.
How to diagnose sinusitis in children
1. Detailed medical history: After the child has a cold for more than a week, symptoms such as nasal congestion and runny nose are not alleviated, but aggravated, and nasal congestion, yellow pus, and runny nose increase. The possibility of sinusitis should be considered.
2. Systemic symptoms are more obvious than in adults: acute sinusitis can appear high fever, poisoning symptoms, and even dehydration, convulsions, sometimes nausea, vomiting, cough, chronic sinusitis can appear low fever, listlessness, loss of appetite, weight loss, poor memory and other symptoms.
3. Nasal examination and local examination: In acute sinusitis, the phenomenon of redness, swelling, tenderness and nasal discharge into the pharynx is more common than in adults. Nasal examination is important. Nasal endoscopy in children can be used for examination of the anterior nostrils, acute congestion and swelling of the nasal mucosa in acute sinusitis. There is a large amount of purulent nasal discharge and nasal discharge that enters the pharynx more often than in adults. Be sure to cooperate with the pharyngeal examination to see if purulent nasal discharge is flowing down the posterior pharyngeal wall from the posterior nostrils. Chronic sinusitis may show nasal vestibular scabs, which can be examined by shrinking children's lower turbinates with 1% ephedrine solution, and pus accumulation can be seen in the middle nasal passage and olfactory groove. During examination, pay attention to the presence or absence of pus, redness, or polyps at the tip of the nose, middle nasal passage, and olfactory groove mucosa.
4. X-rays and CT scans: X-rays have little significance in the diagnosis of sinusitis in children under 5 years of age, and must be combined with clinical symptoms, signs and medical history to have reference value. Older children have cloudy sinus passages, a liquid surface, a mucous membrane thicker than 4 mm, or a polyp or mucus cyst. Type A ultrasound and CT scans are of great value in the diagnosis of sinusitis in children.
5. Other methods such as transjection and maxillary sinus puncture irrigation are only suitable for older children.
The above five points are related to the introduction of "how to diagnose sinusitis in children". Experts say sinusitis is extremely harmful. Patients and friends should carefully understand the related diseases and the causes of this disease, do a good job in prevention in time, and create a healthy growth environment for children.
