扁桃体腺样体肥大患儿术前术后血气分析  

Changes of blood gases in children with adenoid and tonsil hypertrophy

作　　者：陶礼华[1] 黄友棣[1] 赵斯君[1] 李贇[1] 罗欣友[1] 敬云龙[1] 

机构地区：[1]湖南省儿童医院耳鼻咽喉科,湖南长沙410007

出　　处：《中国耳鼻咽喉颅底外科杂志》2006年第3期197-198,202,共3页Chinese Journal of Otorhinolaryngology-skull Base Surgery

摘　　要：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 explore the influence of adenoid and tonsil hypertrophy on blood gases in children. Methods Aterial blood gases of 41 children with adenoid and tonsil hypertrophy were measured before and after operation respectivdy. The results were compared. Results Most children with adenoid and tonsil hypertrophy had decreased PO2, increased. PaCO2 and acidosis preoperativdy, and some even had hypoxemia and hypercapnia. The differences of blood gases before and after operation were statistically significant. Conclusion Adenoid and tonsil hypertrophy can lead to children＇s chronic anoxia influence internal environment balance and hamper children＇s growth and development. Therefore proper treatment need to be strengthened.

关 键 词：扁桃体腺样体肥大/病理生理学 血气分析 

分 类 号：R766.18[医药卫生—耳鼻咽喉科] R446.112[医药卫生—临床医学]