Talaat A M, Nahhas M M
Arch Otolaryngol. 1983 Jan;109(1):30-3. doi: 10.1001/archotol.1983.00800150034006.
Thirty children with lower respiratory tract infection of varying degrees secondary to chronic tonsillitis and/or enlarged adenoids were studied clinically and roentgenographically. Symptoms and signs of alveolar hypoventilation and signs of cor pulmonale were present in two of them. These symptoms and signs improved markedly after adenoidectomy and tonsillectomy. The relationship of the lung changes to the incidence of cor pulmonale is discussed. The development of recurrent attacks of severe lower respiratory tract infection secondary to diseased tonsils and adenoids is believed to play an important role in the pathogenesis of cor pulmonale in children with upper respiratory tract obstruction due to chronically enlarged tonsils and adenoids.
对30例继发于慢性扁桃体炎和/或腺样体肥大的不同程度下呼吸道感染患儿进行了临床和X线检查。其中2例出现肺泡通气不足的症状和体征以及肺心病体征。腺样体切除术和扁桃体切除术后，这些症状和体征明显改善。讨论了肺部改变与肺心病发生率的关系。因慢性肿大的扁桃体和腺样体导致上呼吸道梗阻的儿童，扁桃体和腺样体疾病继发的严重下呼吸道感染反复发作被认为在肺心病发病机制中起重要作用。
