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本文报告两例继发于扁桃体腺样体肥大的肺源性心脏病,并复习讨论了有关文献及病理生理。例一:3岁半,女,因昏睡入院。患儿四周来流涕、呼吸困难及发绀,无咽痛及体温升高史。生下21个月因房间隔缺损、室间隔缺损和肺高压症做了矫正术。检查;体温正常、指端发绀、心率120次/分、呼吸65次/分、扁桃体肥大但尚未相遇于中线、肋下缘下陷、呼气时有啰音、胸骨左缘有杂音、肝肋缘下4厘米、脾可触及、胸部X线摄片显示心脏扩大、心电图呈Ⅰ度房室传导阻滞及右心室肥大、血液气体检查pH7.32、动脉二氧化碳分压(PCO_2)44.4mmHg、氧分压(PO_2)51.2mmHg,氧饱和度80％。
This article reports two cases of secondary pulmonary heart disease secondary to tonsil adenoid hypertrophy, and reviews and discusses the literature and pathophysiology. Example 1: 3 years and a half, female, admitted to hospital due to lethargy. Children runny nose around, breathing difficulties and cyanosis, no history of sore throat and body temperature. Born 21 months due to atrial septal defect, ventricular septal defect and pulmonary hypertension made orthodontics. Check; body temperature is normal, the end of cyanosis, heart rate 120 beats / min, breathing 65 beats / min, tonsil hypertrophy but not yet met in the midline, subsidence rib edge, a rales when exhaled, left sternal noise, 4 cm under the spleen, palpable chest, chest X-ray showed enlargement of the heart, Ⅰ degree atrioventricular block and right ventricular hypertrophy, blood gas check pH7.32, arterial partial pressure of carbon dioxide (PCO_2) 44.4mmHg, oxygen Pressure (PO_2) 51.2mmHg, oxygen saturation of 80%.