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对202例慢性扁桃体炎腺样体肥大的患儿行手术切除,随访180例,治愈率90%。对其中40例伴有明确睡眠呼吸暂停病史的患儿手术前后进行了血气分析,结果(x±s)表明:术前pH7.334±0.013、Pco2(kPa)6.04±0.26、Po2(kPa)1038±020,术后pH7388±0018、Pco2537±019、Po21241±024,统计学处理各项指标均有显著性差异(P<0.01)。作者认为慢性扁桃体炎腺样体肥大如有睡眠性呼吸暂停临床症状及并发症者应早期手术治疗。
202 cases of chronic tonsillitis adenoid hypertrophy in children underwent surgical resection, followed up 180 cases, the cure rate of 90%. Blood gas analysis was performed on 40 children with a history of clear sleep apnea before and after surgery. Results (x ± s) showed that preoperative pH7.334 ± 0.013, Pco2 (kPa) 6.04 ± 0.26 , Po2 (kPa) 1038 ± 020, postoperative pH7388 ± 0018, Pco2537 ± 019, Po21241 ± 024, there was a significant difference in all the indexes (P <0.01). The authors believe that chronic tonsillitis adenoid hypertrophy such as sleep apnea clinical symptoms and complications should be early surgical treatment.