Karanov J, Minić P, Subarević V, Baljosević I
Institute of Mother and Child Health Care of Serbia, Belgrade.
Srp Arh Celok Lek. 2000 May-Jun;128(5-6):208-10.
A 23-month-old boy with the syndrome of hypoventilation, obstructive sleep-apnea, pulmonary hypertension and cor pulmonale due to chronic upper airway obstruction resulting from adenotonsillar hypertrophy, is presented. After the surgical removal of obstructing tissue rapid clinical improvement ensued and signs of cor pulmonale returned to normal within a few days. The relationship between the upper airway obstruction and hypoventilation and cor pulmonale is discussed and the importance of early recognition and removal of enlarged tonsils before life-threatening complications occur, is stressed.
本文介绍了一名23个月大的男孩，因腺样体扁桃体肥大导致慢性上气道阻塞，出现通气不足、阻塞性睡眠呼吸暂停、肺动脉高压和肺心病综合征。手术切除阻塞组织后，临床症状迅速改善，肺心病体征在数天内恢复正常。文中讨论了上气道阻塞与通气不足及肺心病之间的关系，并强调了在危及生命的并发症发生之前尽早识别并切除肿大扁桃体的重要性。
