最後更新：2026年10月1日
上頜竇發炎或腫瘤,常因牙科疾病繼發或鼻腔疾病延伸。症狀為鼻分泌物、臉部腫脹及疼痛。
Upper respiratory tract infections (feline herpesvirus-1, feline calicivirus) are extremely common, especially in shelter environments. Chronic rhinosinusitis may follow acute viral infection. Pleural effusion in cats should prompt evaluation for CHF, FIP, lymphoma, and pyothorax.
常因牙科疾病 (第四前臼齒膿瘍) 繼發
建議：維持量 (maintenance rate)，避免過度輸液加重肺水腫
監測頻率：居家每日；回診時
[1]Canine fossa puncture in endoscopic sinus surgery: report of two cases.
病情可能在 24-48 小時內惡化，需盡快評估與處置 (may deteriorate within 24-48h, prompt evaluation needed)
飼主衛教
用藥指引
⚠ 警訊症狀（立即回診）
環境調整
長期計畫：慢性呼吸道疾病每 3-6 月追蹤
限制活動
最小化活動與壓力，避免項圈壓迫氣管（改用胸背帶）
期間：症狀緩解後漸進恢復
預後良好;牙科問題處理後多數改善
Diagnostic Approach for Maxillary Sinus Disease
Evaluate respiratory pattern, rate, effort; auscultate thorax for crackles, wheezes, or decreased sounds
Minimum 3 views to evaluate airway, parenchyma, pleural space, and mediastinum
Bronchoalveolar lavage, transtracheal wash, or CT scan based on radiographic findings