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在儿童,除慢性哮喘病和肺囊性纤维化外,伴有低氧、碳酸过多、酸中毒的阻塞性呼吸道疾病相当少见。1956年以来,由扁桃体、增殖体肥大致上气道阻塞造成严重呼吸道疾病和/或心力衰竭的报道约40例。其病理机制是由于气道阻塞致肺换气不足,产生低氧,二氧化碳贮留,引起肺血管收缩,毛细血管阻力增加,肺动脉压力升高,增加右心室负荷,导致右心室肥大和心力衰竭。作者们对患有慢性扁桃体炎和/或增殖体肥大伴有不同程度下呼吸道感染的30例儿童进行了详细检查和研究。年龄是2.5～12岁。症状有反复发作急性扁桃体炎、慢性咳嗽、流涕、体重减轻、增殖体面容、思睡、鼾声、稍用力即喘、
In children, in addition to chronic asthma and cystic fibrosis, obstructive airway disease with hypoxemia, hypercapnia, and acidosis is quite rare. Since 1956, about 40 cases of severe respiratory diseases and / or heart failure caused by the general airway obstruction of tonsils and proliferating body fluids have been reported. The pathological mechanism is due to airway obstruction caused by inadequate ventilation of the lungs, resulting in hypoxia, carbon dioxide storage, causing pulmonary vasoconstriction, increased capillary resistance, increased pulmonary artery pressure, increased right ventricular load, leading to right ventricular hypertrophy and heart failure. The authors conducted a detailed examination and study of 30 children with chronic tonsillitis and / or proliferative hypertrophy with varying degrees of respiratory tract infection. The age is 2.5 ~ 12 years old. Symptoms of recurrent acute tonsillitis, chronic cough, runny nose, weight loss, proliferation of body surface, sleep, snoring, a little effort that is asthma,