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[变应性患者的腺样体切除术和扁桃体切除术]

[Adenoidectomy and tonsillectomy in allergic patients].

作者信息

Fourrier E

出版信息

Ann Otolaryngol Chir Cervicofac. 1984;101(3):237-9.

PMID:6465752
Abstract

A retrospective study of results of adenoidectomy, tonsillectomy, or their association in 80 of 35% cases of children with allergic affections showed that operation was successful in 2 out of 10 cases, resulted in complications in one out of 10 and was ineffective in 7 out of 10. This emphasizes the need for selection of children with allergy before deciding to operate, failures with complications being rarely observed when correct decisions have been made. Poor results can be avoided if contact of harmful allergens is prevented during healing. This involves the eviction of allergens, with isolation of the patient for one week and antidegranulation treatment of the ketotifen type, and accelerated densensitization during the isolation period. Antibiotics and polyvalent vaccination may be necessary to treat infection. Four-year follow up of 65 patients operated upon under these conditions demonstrated excellent results.

摘要

对35%患有过敏性疾病儿童中的80例进行的腺样体切除术、扁桃体切除术或二者联合手术结果的回顾性研究表明,10例中有2例手术成功,10例中有1例出现并发症,10例中有7例无效。这强调了在决定手术前选择过敏儿童的必要性,当做出正确决定时,很少观察到伴有并发症的失败情况。如果在愈合过程中防止有害过敏原的接触,就可以避免不良结果。这包括清除过敏原,将患者隔离一周并进行酮替芬类型的抗脱颗粒治疗,以及在隔离期间加速脱敏。可能需要使用抗生素和多价疫苗来治疗感染。对在这些条件下接受手术的65例患者进行的四年随访显示结果极佳。

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