扁桃腺及腺樣增殖體肥厚引致可逆性肺心症一病例報告

Cor Pulmonale Due to Upper Airway Obstruction by Hypertrophied Tonsils and Adenoids Report of a Case

黃碧桃(Betau Hwang) ； 孟春昌(C. C. Laura Meng)

《Acta Paediatrica Sinica》 20卷2期 (1979/06) Pp. 99-105

摘要

肺心症在兒童期是很少見的，尤其是由於扁桃腺及腺樣增殖體肥厚造成上呼吸道阻塞而引致肺心症更為少見。病童多為三歲以前的男孩，臨床症狀呈現粗躁的呼吸音及右側心臟衰竭。胸部X光可見心臟擴大及肺部水腫，心電圖顯示右心房室擴大。切除肥厚的爲桃腺及腺樣增值體是基本治療方法，且3至6個月後，多會有明顯進步。

並列摘要

Cor pulmonale due to chronic upper airway obstruction by hypertrophied tonsils and adenoids is a very rare disease in childhood. It is seen more frequently in negro boy in the United States, and the onset is usually before 3 years of age.
A typical case of upper airway obstruction secondary to chronic hypertrophied tonsils and adenoids was reported in this paper.
A 3½-year-old boy presented typical clinical manifestations of noisy breathing, signs of right heart failure, swelling of the face and lower legs, hepatomegaly and tachypnea when he was 1½-year-old.
A cardiac catheterization was performed on November 5,1976, which demonstrated severe pulmonary hypertension and no evidence of congenital heart disease. There were wide fluctuations in pulmonary arterial and right atrial pressures with respiration. Marked improvement of the symptoms and signs were observed two years after tonsillectomy and adenoidectomy.

並列關鍵字

cor pulmonale ； alveolar hypoventilation ； hypertrophied tonsils and adenoids