蝶窦感染性疾病常伴发于其他鼻窦感染或邻近炎症的蔓延，单独的蝶窦炎临床上很少见。我们于1993年诊治1例，现报告如下。患者男性，52岁。因右侧头痛10天伴高热4天．于1993年4月4口急诊入院。入院前10天患者感觉右侧持续性头痛，伴有咳嗽，痰不多无血迹。4天前开始发热，高达39 Sphenoid sinus infectious disease often associated with other sinus infections or the spread of adjacent inflammation, sphenoid sinusitis alone is clinically rare. We have a diagnosis and treatment in 1993, the report is as follows. Male patient, 52 years old. 10 days due to right headache with fever for 4 days. In April 1993 4 emergency department admission. Ten days prior to admission, the patient felt persistent headache on the right with cough and sputum with few bloodstains. 4 days ago fever, up to 39