Maciorkowska E, Kaczmarski M, Sulik M, Szafałowicz K
III Kliniki Chorób Dzieci Akademii Medycznej w Białymstoku.
Pol Merkur Lekarski. 1998 Dec;5(30):335-7.
40 children, aged 4-12, hospitalised in the III State Hospital of Children's Diseases and suffering from recurrent complaints of respiratory system with accompanying breathing disorders were subjected to clinical examination. In the analysed group 55% of children suffered from recurrent upper respiratory tract inflammations, 12.5% from recurrent otitis, 12.5%--increased neck nodules, 12.5% from hearing disorders, and 42.5% of children breathed by mouth. On the basis of allergic and immunological examinations, in 90.5% allergy was confirmed as the main cause of the complaints. In 7.5% of cases, above complaints were conditioned by accompanying infection. Increased total IgE level in serum was confirmed only in 37.5%. 17.5% of children showed peripheral blood eosinophilia. Some children were qualified for adenotomy and removed adenoid was examined histopatologically. Significant features of acute, subacute, and chronic inflammatory process leading to hypertrophy of the organ and causing obstruction in breathing were observed on the examination. Periodical dietetic treatment (the influence of nutritional allergy) and pharmacological treatment were recommended.
40名4至12岁的儿童因呼吸系统反复出现不适并伴有呼吸障碍,入住第三国立儿童医院接受临床检查。在分析的群体中,55%的儿童患有反复性上呼吸道炎症,12.5%患有反复性中耳炎,12.5%有颈部结节增大,12.5%有听力障碍,42.5%的儿童用口呼吸。根据过敏和免疫学检查,90.5%的过敏被确认为不适的主要原因。在7.5%的病例中,上述不适是由伴随感染引起的。血清中总IgE水平升高仅在37.5%的病例中得到证实。17.5%的儿童外周血嗜酸性粒细胞增多。一些儿童接受了腺样体切除术,并对切除的腺样体进行了组织病理学检查。检查中观察到导致器官肥大并引起呼吸阻塞的急性、亚急性和慢性炎症过程的显著特征。建议进行定期饮食治疗(营养过敏的影响)和药物治疗。