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儿童睡眠呼吸暂停扁桃体与腺样体切除前后血气分析
引用本文:应民政,易敏. 儿童睡眠呼吸暂停扁桃体与腺样体切除前后血气分析[J]. 中国耳鼻咽喉头颈外科, 2005, 12(1): 13-15
作者姓名:应民政  易敏
作者单位:岳阳市第二人民医院耳鼻咽喉科,湖南,岳阳,414000;岳阳市第二人民医院检验科,湖南,岳阳,414000
摘    要:目的探讨扁桃体、腺样体切除对儿童睡眠呼吸暂停的影响。方法对1998年10月-2003年12月施行的229例慢性扁桃体和/或腺样体切除术患儿术前术后血气分析的指标加以对照并进行分析。结果血气分析指标血氧分压、二氧化碳分压及pH值显示,34例有睡眠呼吸暂停病史者血气分析参数变化显著,195例没有睡眠呼吸暂停病史者血气分析参数变化不明显。结论扁桃体和/或腺样体的异常肥大是导致儿童睡眠呼吸暂停的主要原因,通过手术切除扁桃体及腺样体可以获得满意的疗效。

关 键 词:儿童  睡眠呼吸暂停  阻塞性  扁桃体切除术  腺样体切除术  血气分析
修稿时间:2004-11-03

An analysis of the blood gas pre and post tonsillectomy and adenoidectomy in children with obstructive sleep apnea syndrome
YING Minzheng,YI Min. An analysis of the blood gas pre and post tonsillectomy and adenoidectomy in children with obstructive sleep apnea syndrome[J]. Chinese Archives of Otolaryngology-Head and Neck Surgery, 2005, 12(1): 13-15
Authors:YING Minzheng  YI Min
Abstract:OBJECTIVE To investigate the affect after tonsillectomy and adenoidectomy in children with obstructive sleep apnea syndrome (OSAS).METHODS The blood gas was October 1996 to December 2001, RESULTS The level of PO2, PCO2,and pH were im- proved obviously after operation in 34 cases OSAS children,and no significant changes in 195 cases chil- dren without OSAS. CONCLUSION Hypertrophied ton- sil and adenoid is an important cause of OSAS in children.The tonsillectomy and adenoidectomy proce- dures had good treadment effect in those OSAS children. [
Keywords:Child  Sleep Apnea  Obstructive  Tonsillectomy  Adenoiddectomy  Blood Gas Analysis
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