Causes and management of pediatric spontaneous tonsillar haemorrhage
2017
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.
Key words:
Adenoids; Haemorrhage; Herpesvirus 4, human; Hemophilia A
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