DOI 10.3760/cma.j.issn.1673-0860.2017.03.012

Медицинская библиотека · Zhonghua er bi yan hou tou jing wai ke za zhi = Chinese journal of otorhinolaryngology head and neck surgery · 2017

[Causes and management of pediatric spontaneous tonsillar haemorrhage].

Wu Z B, Pan H G, Teng Y S, Zhang D L, Ma X Y, Han S H, Li L

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Аннотация

Objective

To analyze the causes and management plan of pediatric spontaneous tonsillar haemorrhage(STH).

Methods

According to the criteria of STH difined by Griffies, patients with STH from December 2013 to January 2016 were included in this retrospective study.

Results

A total of 11 patients were reviewed. The etiological diagnosis included 3 pediatric Epstein-Barr virus associated infectious mononucleosis(EBV-IM), 3 suspected pediatric EBV-IM to 3 acute suppurative tonsillitis, 1 acute viral tonsillitis and 1 hemophilia A. The management strategies included antiviral, antibacteria, transfusion, surgical examination followed with bipolar coagulation hemostasis under general anesthesia. No patient treated with tosillectomy.

Conclusions

STH is now a rare condition, the causes of which in child are more or less different from adult.This emergency can be treated in time if a detailed management plan for pediatric STH is formulated.

Для цитирования: Wu Z B, Pan H G, Teng Y S, Zhang D L, Ma X Y, Han S H, Li L. [Causes and management of pediatric spontaneous tonsillar haemorrhage].. Zhonghua er bi yan hou tou jing wai ke za zhi = Chinese journal of otorhinolaryngology head and neck surgery. 2017. DOI: 10.3760/cma.j.issn.1673-0860.2017.03.012.

Предметные рубрики MeSH

Acute Disease Child Female Hemophilia A Hemorrhage Herpesvirus 4, Human Humans Infectious Mononucleosis Male Palatine Tonsil Retrospective Studies Tonsillitis

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