Grobbelaar J, Seedat R Y, Brown S, Claassen A J
Department of Otorhinolaryngology (G42), Universitas Academic Hospital and University of the Free State, P.O. Box 339, Bloemfontein 9300, South Africa.
Int J Pediatr Otorhinolaryngol. 2005 Sep;69(9):1279-82. doi: 10.1016/j.ijporl.2005.03.019. Epub 2005 Apr 26.
Although pulmonary hypertension secondary to upper airway obstruction caused by adenotonsillar hyperplasia has been well described, the association between laryngeal papillomatosis and pulmonary hypertension has not previously been documented. We report three patients with pulmonary hypertension due to upper airway obstruction caused by laryngeal papillomatosis. Pulmonary hypertension can contribute to significant preoperative and postoperative morbidity and cause intraoperative complications. Preoperative diagnosis and treatment of pulmonary hypertension is therefore essential in these patients.
虽然腺扁桃体增生引起上气道阻塞继发的肺动脉高压已得到充分描述,但喉乳头状瘤病与肺动脉高压之间的关联此前尚未见文献记载。我们报告了3例因喉乳头状瘤病引起上气道阻塞导致肺动脉高压的患者。肺动脉高压可导致显著的术前和术后发病率,并引起术中并发症。因此,对这些患者进行肺动脉高压的术前诊断和治疗至关重要。