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长沙9岁的君君（化名）居然被头痛困扰两年多了，头痛情况时好时坏，大多能够忍受。
前段时间天气变凉，头痛愈演愈烈，上课也容易分神，老师都反应君君上课期间“小动作”频繁，不停的用手挤压眉头，还容易打喷嚏，流黄鼻涕。
君君自述打出的喷嚏自己都能闻到一股特殊的臭味，内心十分焦虑不安。
近日，君君妈特意挑周末时间来湖南省第二人民医院儿科头痛专病门诊就诊。
经排查，导致君君近两年多的头痛和鼻部不适的原因竟是筛窦炎引起的。它是鼻窦炎的一种，找到病因就好对症下药。
经过门诊洗鼻，鼻腔喷药，加内服改善鼻窦炎症等反应，君君头痛明显好转。
儿科薛亦男主任提出：像君君这种因鼻窦炎引起头痛的孩子不少，当头痛和鼻部不适影响到了学习和生活就需要家长别不当回事，建议尽早积极治疗了。
什么是鼻窦炎？
鼻窦炎是为鼻科常见疾病，我国约每100人中就有8人患慢性鼻窦炎。病因多由病毒、细菌或真菌引起的鼻窦感染。
按病程分为急性鼻窦炎和慢性鼻窦炎。
按病变范围分为单组鼻窦炎，多组鼻窦炎，还有全组鼻窦炎。
鼻窦又分为四组，有上颌窦、筛窦、额窦、蝶窦。
主要症状是鼻塞、流脓涕和头痛，可伴嗅觉减退或丧失，一般无遗传性和传染性。
儿童鼻窦炎头痛的特点有哪些？
君君的头痛症状为何是表现在眉心，原来鼻窦炎头痛有一定的规律。可根据发生炎症部位而有所不同，具体表现如下：
1、额窦炎：单纯的额窦炎引起的头痛，部位多在额眶部，一般晨起和上午较重，由于体位引流的缘故，下午和晚上减轻。
2、上颌窦炎：上颌窦炎引起的头痛多位于两颞部，一般下午和傍晚较重，晨起较轻。
3、筛窦炎：筛窦炎所致的头痛多位于两眉间和鼻梁根部深处。
4、蝶窦炎：蝶窦炎引起的头痛则多位于枕顶部，少数患者可有嗅觉减退或消失。
鼻窦炎的治疗有哪些？
急性鼻窦炎需要尽快的消除病因，促进鼻窦的通气引流，解除通气障碍，控制感染以及预防并发症，在医生的指导下使用抗生素来进行治疗。
另外可以鼻腔冲洗后局部使用药物，或使用激素类的喷剂进行治疗。
慢性鼻窦炎多由急性鼻窦炎反复发作而来。包括真菌性鼻窦炎、过敏性鼻窦炎、化脓性鼻窦炎等。
应根据不同分类，制定不同治疗方案，具体治疗原则如下：
1、过敏性鼻窦炎：可局部使用鼻喷激素药物，或口服抗组胺药物进行全身治疗，避免接触过敏源；
2、真菌性鼻窦炎：轻症可药物治疗，重症可选择手术治疗。
3、化脓性鼻窦炎：多由鼻中隔偏曲、鼻甲肥大等局部阻塞导致，需进行鼻窦微创手术，使鼻腔恢复通畅。
薛亦男介绍：临床上不少患鼻窦炎的孩子除头痛外，还诉有头晕、呕吐、注意力不集中、记忆和学习成绩均下降的情况。平时注意锻炼身体提高免疫力，避免受凉、感冒。
多呼吸新鲜空气,避免鼻子干燥，擤鼻涕时，一定要手指按着一侧鼻孔擤鼻涕，避免诱发中耳炎，不用手挖鼻孔，以防带入病菌。
饮食上尽量少吃辛辣刺激，和易过敏的食物，多进食新鲜水果蔬菜，饮食宜清淡，富含营养，出现鼻腔病变时要及时诊治。
（编辑Rainbow。图片来源网络，侵删）
湖南医聊特约作者：湖南省第二人民医院 儿科 金梦妮
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哈喽！！！大家好！！！我是二当家！！！ 本期视频内容我们来聊一聊洗鞋宝的网点自取模式。 网点自取模式是洗鞋宝将洗鞋服务“社区化”的一个重要途径，让用户在家门口就可以方便的洗鞋、洗衣…
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