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目的探讨儿童病理性扁桃体腺样体肥大低通气对血气的影响。方法对已确诊的12例扁桃体肥大、8例腺样体肥大及21例扁桃体合并腺样体肥大患儿手术前的动脉血气分析进行检则并与术后对比。结果所有患儿术前均出现不同程度的动脉氧分压降低,二氧化碳升高,部分伴有低氧血症、高碳酸血症。比较术前、术后动脉血氧分压(PaO2)、二氧化碳分压(PaCO2)均有统计学意义。结论扁桃体腺样体肥大可导致儿童长期慢性缺氧影响内环境平衡及生长发育,建议积极治疗。
Objective To investigate the effect of hypoglycemic hyperplasia of children with pathological tonsil adenoids on blood gas. Methods 12 cases of diagnosed tonsil hypertrophy, 8 cases of adenoid hypertrophy and 21 cases of tonsil adenoid hypertrophy before operation were examined and compared with those after operation. Results All patients had different degrees of preoperative arterial partial pressure of oxygen decreased, elevated carbon dioxide, in part accompanied by hypoxemia, hypercapnia. Preoperative and postoperative arterial partial pressure of oxygen (PaO2), partial pressure of carbon dioxide (PaCO2) were statistically significant. Conclusions Tonsillar adenoid hypertrophy can lead to long-term chronic hypoxia in children affecting the balance of internal environment and growth and development, suggesting active treatment.