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Kartagener综合征(原发性纤毛无力)是包括慢性鼻-鼻窦炎、慢性支气管炎伴支气管扩张和内脏转位的三联症。以粘液纤毛运输功能降低或缺失为特征。所有病案均有鼻分泌物积聚、慢性复发性分泌性中耳炎和鼻窦炎。出生时或幼儿早期即出现鼻溢。内脏转位并非必具,故对典型的耳鼻喉科症状的认识对早期诊断很重要。作者们报告15例,并描述其耳、鼻、咽部症状,以提起耳鼻喉科医生的注意。15例均经过以下系统检查:①常规耳、鼻、咽检查;②鼻粘液纤毛运输功能测试,将染色的糖精置于下鼻甲,观察30~60分钟,若病人感甜味,并见咽部有蓝色点者为阳性;③鼻涂片研究白细胞;④鼻腔细胞培养;
Kartagener syndrome (primary cilia weakness) is a triad of diseases including chronic rhinosinusitis, chronic bronchitis with bronchiectasis and visceral transposition. Characterized by decreased or missing mucociliary transport. All cases had nasal secretions, chronic recurrent otitis media and sinusitis. Nasal spills occur at birth or early in infancy. Visceral transposition is not necessary, so the understanding of typical otolaryngology symptoms is important for early diagnosis. The authors report 15 cases and describe their otorhinal and pharyngeal symptoms in order to raise the otolaryngologist’s attention. 15 cases were examined by the following system: ① conventional ear, nose and pharyngeal examination; ② nasal mucociliary transport function test, the stained sweetener placed in the inferior turbinate, observed 30 to 60 minutes, if the patient is feeling sweet and see the throat Blue dot is positive; ③ nasal smear research white blood cells; ④ nasal cell culture;