1.The analysis of surgery effect of OSAHS children accompanied with sinusitis.
Wei MENG ; Weiguo ZHOU ; Guangfei LI ; Qingxiang ZHAGN ; Guolian LI ; Hui ZHOU ; Shanchun GONG
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2014;28(7):462-464
OBJECTIVE:
To discuss the clinical efficacy of adenoidectomy and tonsillectomy for the OSAHS children with sinusitis.
METHOD:
Reviewing 112 cases of children with OSAHS, in which the 80 patients without chronic sinusitis, 32 ones with chronic sinusitis. Among them, 103 cases of children with adenoidectomy, tonsil resection, 9 cases adenoidectomy only. We did questionnaire survey before and after surgeryand also did post-surgery clinical follow-up.
RESULT:
The effective rate was 90.0% for the OSAHS children without sinusitis after adenoid and tonsil ectomy surgery, while the effective rate was 46.9% for the ones with sinusitis, the efficiency was significant different in the two groups after surgery; the 16.1% children after tonsil ectomy surgery complained the incidence of pharyngeal foreign body sensation and pharyngeal lymphoid hyperplasia in children was 23.2%.
CONCLUSION
The efficiency was aviable for the OSAHS children without sinusitis after surgery; The efficiency was not aviable enough for the OSAHS children with sinusitis after surgery, so the latter one need adjuvant drug treatment; We also should be attention to the pharyngeal foreign body sensation and the lymphoid hyperplasia in children after tonsillectomy.
Adenoidectomy
;
Adolescent
;
Child
;
Child, Preschool
;
Female
;
Humans
;
Infant
;
Male
;
Retrospective Studies
;
Sinusitis
;
complications
;
therapy
;
Sleep Apnea, Obstructive
;
complications
;
surgery
;
Tonsillectomy
;
Treatment Outcome
2.Clinical and laboratory diagnosis of adult hemophagocytic syndrome
Hongyu ZHANG ; Qingxiang MENG ; Jin LIU ; Liping PANG ; Jun WANG ; Lei XU ; Jia FENG ; Wenli ZHANG ; Qian ZHAGN ; Lihua SUN ; Fengluan ZHONG ; Haichan XU ; Jiren YU
Clinical Medicine of China 2009;25(5):509-512
Objective To investigate the clinical and laboratory diagnosis of adult hemophagocytic syn-drome (HPS) . Methods Clinical data of 24 patients with HPS from 2000 to 2008 were retrospectively analyzed. Results Of the 24 HPS cases, 12 had a malignant associated hemophagocytic syndrome (MHAS), and 10 were fi-nally diagnosed by bone marrow immunohistochemist ;Of 12 cases in non-MAHS group,4 were with virus associated hemophagocytic syndrome (VAHS), and 4 were of the other infections, whereas 4 patients diagnosed of immune associated HS (MAS). There were significant difference in onset age, mortality, serum lactate dehydrogenase (LDH) and serum ferritin(FER) and neutrophilic NAP between non-MAHS group and MAHS group(P <0.01 ,P<0.05). In all cases bone marrow biopsy showed significant differences in cytological and pathological features between MAHS group and non-MAHS group. Conclusion Etiology,immunology,and bone marrow cell biopsy and pathology as well contribute to the diagnosis and typing of HPS and will give a guide to the therapy.