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儿童扁桃体肥大可引起上呼吸道阻塞,导致夜间血流动力学改变、肺动脉高压和肺心病,甚致引起婴儿猝死。一般认为扁桃体或增殖体肥大引起大声打鼾者应手术治疗。作者采用冷冻法治疗儿童扁桃体肥大引起睡眠时上呼吸道阻塞共18例,其中女7例,男11例;年龄3～10岁,平均5.7岁。全部病例均在1～2年前曾行增殖体切除术而症状不缓解。手术在全麻下进行,术前投予培他米松4mg预防术后水肿。为减轻
Tonsil hypertrophy in children can cause upper airway obstruction, leading to nocturnal hemodynamic changes, pulmonary hypertension and pulmonary heart disease, even cause sudden infant death. Generally believed that tonsil or proliferative hypertrophy caused by loud snoring patients should be surgically treated. A total of 18 cases of upper respiratory tract obstruction caused by tonsil hypertrophy caused by sleep in children, including 7 females, 11 males; aged 3 to 10 years, mean 5.7 years. All cases were in 1 to 2 years ago had a proliferative resection and the symptoms do not ease. Surgery under general anesthesia, preoperative administration of pemetrexed 4mg to prevent postoperative edema. To alleviate