Causes and management of pediatric spontaneous tonsillar haemorrhage
10.3760/cma.j.issn.1673-0860.2017.03.012
- VernacularTitle: 儿童自发性扁桃体出血的病因和治疗
- Author:
Zebin WU
1
;
Hongguang PAN
1
;
Yishu TENG
1
;
Delun ZHANG
1
;
Xiangyu MA
1
;
Saihong HAN
1
;
Lan LI
1
Author Information
1. Department of Otorhinolaryngology, Shenzhen Children′s Hospital, Shenzhen 518026, China
- Publication Type:Journal Article
- Keywords:
Adenoids;
Haemorrhage;
Herpesvirus 4, human;
Hemophilia A
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2017;52(3):225-227
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the causes and management plan of pediatric spontaneous tonsillar haemorrhage(STH).
Methods:According to the criteria of STH difined by Griffies, patients with STH from December 2013 to January 2016 were included in this retrospective study.
Results:A total of 11 patients were reviewed. The etiological diagnosis included 3 pediatric Epstein-Barr virus associated infectious mononucleosis(EBV-IM), 3 suspected pediatric EBV-IM to 3 acute suppurative tonsillitis, 1 acute viral tonsillitis and 1 hemophilia A. The management strategies included antiviral, antibacteria, transfusion, surgical examination followed with bipolar coagulation hemostasis under general anesthesia. No patient treated with tosillectomy.
Conclusions:STH is now a rare condition, the causes of which in child are more or less different from adult.This emergency can be treated in time if a detailed management plan for pediatric STH is formulated.
