{"nowTime30":1777579751339,"lyBarModerator":null,"metaSearch":{"description":"1、孩子腺样体肥大到底要不要手术？　　这是家长们最为关心的问题，根据孩子的症状、病程、有没有其他并发症来决定的。如果孩子晚上睡眠很差，有憋气，而且时间已经很久了，或已经反复出现这样情况，建议手术。但如果孩子仅因为最近感冒以后出现这样情况，以前没有发生过，或仅有鼾声，无明显憋气，无翻来覆去睡不好觉等情","keywords":"为家长解惑小儿腺样体肥大_洞医","title":"为家长解惑小儿腺样体肥大_洞医","channels":null},"identificate":{"id":"5a3adeaa985911e8972100163e0462f1","isDel":0,"createAt":1533437016805,"createBy":"8abb11d0af1511e7a3d800163e04584d","createName":"良药苦口","updateAt":0,"updateBy":null,"updateName":null,"userId":"8abb11d0af1511e7a3d800163e04584d","realName":"周鑫","certifiedStatus":2,"phone":"15525873223","email":"langlixunta@163.com","hospitalId":"14629","departmentId":"2035","illName":"","illId":"ac6f137def9411e7a3d800163e04584d","cardType":1,"cardImg":"http://01luntan.com/ly_img/1533437073284.jpg","idCardImg":"","identityType":2,"stop":0,"departmentName":"内分泌科","hospitalName":null},"canEdit":null,"adList":[],"lyBar":{"id":"1343","isDel":0,"createAt":1483430659121,"createBy":"system","createName":"system","updateAt":0,"updateBy":null,"updateName":null,"userId":null,"name":"小儿腺样体肥大","type":102,"twoCode":"http://zhao01.com/zly_img/zly_wx.jpg","image":null,"provinceId":null,"cityId":null,"illId":"6979ef62bb5f11e6a61c00163e04584d","hospitalId":null,"keyWord":null,"totleTopic":0,"barDesc":null,"discussBarType":null,"metaSearch":"{\"channels\":{\"病友社区\":{\"description\":\"为病友提供:腺样体肥大论坛_病友论坛_病友交流平台，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"腺样体肥大论坛_病友论坛_病友交流平台\",\"title\":\"腺样体肥大论坛_病友论坛_病友交流平台\"},\"治疗\":{\"description\":\"为您提供:小儿腺样体肥大怎么治疗_幼儿腺样体肥大治疗等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"小儿腺样体肥大怎么治疗_幼儿腺样体肥大治疗\",\"title\":\"小儿腺样体肥大怎么治疗_幼儿腺样体肥大治疗\"},\"症状\":{\"description\":\"为您提供:腺样体面容怎么恢复_腺样体面容能消失吗等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"腺样体面容怎么恢复_腺样体面容能消失吗\",\"title\":\"腺样体面容怎么恢复_腺样体面容能消失吗\"},\"并发症\":{\"description\":\"为您提供:小儿腺样体肥大后遗症_腺样体肥大手术后遗症等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"小儿腺样体肥大后遗症_腺样体肥大手术后遗症\",\"title\":\"小儿腺样体肥大后遗症_腺样体肥大手术后遗症\"},\"饮食\":{\"description\":\"为您提供:腺样体肥大吃什么食物_腺样体肥大吃什么蔬菜等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"腺样体肥大吃什么食物_腺样体肥大吃什么蔬菜\",\"title\":\"腺样体肥大吃什么食物_腺样体肥大吃什么蔬菜\"},\"病因\":{\"description\":\"为您提供:小儿腺样体肥大原因_小儿腺样体肥大怎么回事等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"小儿腺样体肥大原因_小儿腺样体肥大怎么回事\",\"title\":\"小儿腺样体肥大原因_小儿腺样体肥大怎么回事\"},\"病友求助\":{\"description\":\"为您提供:儿童腺样体肥大保守治疗_小儿腺样体肥大偏方等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"儿童腺样体肥大保守治疗_小儿腺样体肥大偏方\",\"title\":\"儿童腺样体肥大保守治疗_小儿腺样体肥大偏方\"},\"预防\":{\"description\":\"为您提供:鼻子腺样体肥大怎么办_腺样体肥大如何预防等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"鼻子腺样体肥大怎么办_腺样体肥大如何预防\",\"title\":\"鼻子腺样体肥大怎么办_腺样体肥大如何预防\"}},\"description\":\"为您提供:小儿腺样体肥大症状、小儿腺样体肥大治疗、小儿腺样体肥大怎么治、家长们的治疗经验等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"小儿腺样体肥大症状_小儿腺样体肥大治疗_小儿腺样体肥大怎么治\",\"title\":\"小儿腺样体肥大症状_小儿腺样体肥大治疗_小儿腺样体肥大怎么治\"}","adInfo":null},"isLikeThisTopic":null,"lastTopics":[{"id":"11145","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"小儿腺样体肥大预防怎么做 专家向您解答","content":"

\"小儿腺样体肥大预防怎么做

 

腺样体肥大是耳鼻喉科十分常见的疾病，现在生活质量提高，在平时生活和饮食中，一定需要注意，近几年也有不少的小朋友都患上了腺样体肥大，在这里提醒广大家长，一定要重视起来，而小儿腺样体肥大如何预防就成了重中之重。

 

患儿长期用口呼吸、鼻子不通气，易造成头部缺血、缺氧，出现精神萎靡、头痛、头晕、反应迟钝等现象。由于儿童发育需要大量的氧，而腺样体肥大会使孩子在睡眠中严重缺氧，直接导致脑部发育的供氧不足，引起促生长激素分泌减少，不但影响孩子的发育，并且身体抵抗力下降，还将影响到孩子今后的智力。如果长期呼吸道阻塞严重，还会导致肺扩张换气不良，引起肺动脉压升高，甚至诱发肺源性心脏病。因此严重一定重视，腺样体肥大危害。

 

小孩子的免疫机制不完善，抵抗力较弱，非常容易患上腺样体肥大。小儿腺样体肥大的主要症状为打喷嚏、鼻痒、鼻塞、流清水样鼻涕，可伴有头痛，极有可能诱发鼻窦炎、腺样体炎、中耳炎、咽炎、支气管炎、支气管哮喘，顽固性头痛等这类的并发症。家长要学会为小儿擤鼻涕的正确方法。正确的方法是：分别堵住一侧鼻孔，一个一个的把鼻涕擤干净。多饮白开水和果汁，使鼻分泌物软化，减少呼吸道分泌物的堵塞，若分泌量过多，可以用热水、蒸汽物化薰鼻。总而言之，改善和控制环境因素，做好预防工作是首选。

 

小儿如果有腺样体肥大就应该对因治疗。如果症状不是十分严重，可以先观察一段时间，预防呼吸道感染，腺样体也有可能逐渐萎缩，当然这是最理想的了。

 

找良医网温馨提示：通过以上介绍，大家对小儿腺样体肥大如何预防有了一定的了解，家长朋友们一定要做好预防工作，为了孩子的健康着想，切莫大意。


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\"腺样体肥大的饮食注意什么

 

儿童生病会让很多家长心急如焚，不知道从哪里入手，就比如小儿腺样体肥大，小儿腺样体肥大饮食方面一定要注意，患者要忌河鱼河虾、寒凉和容易上火的食物，多食蔬菜、水果，多饮水，找良医网带大家学习一下，患者具体饮食注意事项如下所述：

 

1、禁止吃河鱼河虾，海鱼也暂时忌口，只能吃海虾，每周2次，一次10只左右，海虾补肾阳，可以治疗扁桃体发炎。

 

2、饮食中一定要注意，停止一切寒凉的食物，只吃性平、性温的食物。

 

3、严禁孩子们吃炒货、膨化食品、油炸食品，零食一律拒绝食用，容易上火。

 

4、每周可食用2次鳝鱼，一次一条左右的量，鳝鱼与其它的鱼不同，补血、补肾、抗过敏明显，但不会上火，补而不燥。

 

5、患者家属需要学会做补品，做好后每次吃红枣大小的量，不能多吃，容易上火。

 

6、切记，如果有上火症状时，切半个苹果煮水喝，能去虚火而不伤身体，没有火时不要饮用。

 

7、平时饮食中多吃肉为主，吃猪肉、牛肉、鸡肉，肉要烧烂，利于孩子吸收，蔬菜也一定要保证，蔬菜和肉的比例是1：1。

 

8、食疗跟上后要注意，一定要让孩子多喝白开水，以降虚火。

    

找良医网温馨提示：如有不适，请及时就医，避免拖延！


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\"小儿腺样体肥大容易引起哪些并发症\"


小儿腺样体假如一直肥大而不实时接受医治的话，那末很容易惹起其余并发症。接下来请看小儿腺样体肥大容易引起哪些并发症？

 

第一、当腺样体组织异常增生肥大时，梗塞了上呼吸道，就会呈现鼻堵、张口呼吸的症状，尤以夜间减轻，呈现就寝不安、就寝打鼾的环境。

 

第二、重大时可呈现呼吸停息，即有短时间的呼吸停留，乃至惊醒，变更睡姿后再入眠，使就寝品质降低，同时因气道狭窄，使血液中氧饱和度不足，大脑处于慢性持续缺氧状态，孩子白天昏昏沉沉，精神欠佳，记忆力减退，学习成绩降低。

 

第三、历久鼻堵、呼吸不顺畅，还能影响心、肺功能，重大者可惹起肺心病、心肌受损，乃至右室心力衰竭。由于鼻堵呼吸不顺畅，历久的张口呼吸还可影响颌面骨的发育，构成特殊面容，即所谓“腺样体面容”，表现为上唇上翘，上齿外呲，上腭较高，脸色凝滞。

 

第四、有的患儿因鼻梗塞还可以使发音受到影响，构成灵通性鼻音，鄙谚称“囔囔”声。个体患儿还可因腺样体肥大榨取咽鼓管鼻咽部启齿，招致中耳炎、听力降低，是以对腺样体肥大这类病不可轻视。假如不实时医治而构成上述疾病，如颌面畸形、肺心病等，纵然切除腺样体，呼吸通行了，仍需继承历久医治其余的病症。

 

经由就是专家为你讲解的小儿腺样体肥大容易引起哪些并发症，为了孩子康健着想，请实时带小孩去病院就诊治。以免误诊。

 


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我想问下，我孩子腺样体肥大，前几天发烧。疱疹感冒了，然后吊瓶后退烧了，前期去省中医看的大夫给开了中药喝的和贴的。不过吃了两天感觉孩子症状不轻。腺样体肥大感冒咳嗽怎么办？晚上12点到4点左右咳嗽，我是不是该给停了中药。喝点治疗感冒的，孩子三岁半了，前天去的中药院


","barId":"1343","topicTypeId":null,"topicThemeId":"1033","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":3},{"id":"8445","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"小儿腺样体肥大的危害有哪些","content":"

\"小儿腺样体肥大的危害有哪些\"

腺样体肥大系咽扁桃体增生。鼻咽部及其毗邻部位或腺样体自身的炎症反复刺激，使腺样体发生病理性增生，称腺样体肥大。该病最多见于儿童，常与慢性扁桃体炎合并存在。

 

　　儿童腺样体肥大常属生理性，婴儿出生时鼻咽部即有淋巴组织，并随年龄而增长，6岁以后逐渐退化，一般10岁以后开始萎缩。若其影响全身健康或邻近器官者，则称为腺样体肥大。

 

　　儿童腺样体肥大的危害

 

　　腺样体面容

　　当发生小儿腺样体肥大时，由于鼻塞，儿童为了正常的呼吸会出现张口呼吸的情况。专家表示儿童长期保持张口呼吸，空气产生的气流冲击硬腭会使之变形、高拱，长时间以后就会直接影响面部的发育。患儿会出现牙齿排列不齐、上切牙突出、咬合不良、鼻中隔扁不良症状，对面部肌肉活动造成障碍，使患儿面部缺乏表情，临床上称为腺样体面容。

 

　　气管炎

　　小儿腺样体肥大可堵塞鼻腔，使鼻涕逆向咽部，长期的刺激极易诱发气管炎。

 

　　发育迟缓

　　由于小儿腺样体肥大导致长期鼻子堵塞，使大脑处于缺血、缺氧的状态，造成孩子精神，食欲不正、记忆力下降、反应迟钝、痛、头晕等现象。

 

　　打鼾

　　腺样体肥大堵塞呼吸道，造成呼吸道狭窄而不通畅，气体流动受阻，随着呼吸而发出鼾声。

 

　　专家观点

　　儿科专家崔玉涛认为，扁桃体、腺样体肥大会导致：1、上气道阻塞。出现夜间睡眠时张口呼吸、打鼾、甚至呼吸暂停，可引起慢性缺氧，影响大脑发育和性格异常；2、肿大的扁桃体易反复出现化脓性扁桃体炎。是否需要手术摘除，主要依据是否存在夜间睡眠呼吸障碍-呼吸暂停，以及是否频繁出现化脓性扁桃体炎。


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\"儿童腺样体肥大的典型症状\"


儿童腺样体肥小的典范症状有哪些?专家说到：儿童腺样体肥小迫害孩子康健，影响其发育，严重的还影响孩子的智力，以是一定要引发迹长的留意。起首咱们必需晓得他的症状后能力对症医治。上面就由专家们来讲授一下儿童腺样体肥小的典范症状吧!

 

1、鼻部症状 咽扁桃体肥小常并发鼻炎、鼻窦炎。病人有鼻塞、流涕、张口呼吸、流涎、发言时带闭塞性鼻音、就寝打鼾等症状。

 

2、耳部症状 因为咽扁桃体肥小及鼻咽部炎性分泌物积聚，使咽鼓管咽口受阻，可并发非化脓性或化脓性中耳炎，导致听力减退和耳鸣、耳闷。推荐阅读：南宁医治腺样体肥小哪家病院好

 

3、呼吸道沾染症状 因为炎症不可，分泌物安慰呼吸道粘膜，常惹起咽喉、气管及支气管炎，故病人可出现咽部不适、声音改变、咳嗽吐痰、气喘、低热等症状。

 

4、“腺样体面容” 因为历久张口呼吸，影响面骨发育，上颌骨狭长，硬腭高拱变窄。牙齿外突，牙列不整，咬不良，下颌下垂，唇厚，上唇上翘，下唇吊挂，外眦下拉，鼻唇沟浅平。

 

5、满身症 重要为慢性中毒症状及神经反向症状。表现为养分发育差、鸡胸、血虚、肥弱、低热、消化不良、易乏力、头痛、留意力不会合、抑郁、易惊、性格急躁、夜间就寝磨牙、遗尿等。

 

6、部分反省 可见咽部充血，咽后壁附有炎性脓性分泌物。鼻咽部指诊可触和鼻咽顶后壁有柔嫩的淋巴构造团块，不出血。颈部可扪到肿大的淋巴结。

 

以上就是专家给您介绍的儿童腺样体肥小的典范症状！以上内容仅供参考。

 


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\"小儿腺样体肥大应该如何治疗\"

 

小儿腺样体肥大小应该如何治疗，医治办法有哪些?这是很多家长们都共同关注的问题，小儿腺样体肥大应该如何治疗。

 

腺样体肺癌肥大小同时伴随响应临床症状，必要腺样体切除。假如患儿伴随扁桃体肥大或慢性扁桃体炎，可与扁桃体切除同时停止。因为腺样体和扁桃体是咽部的免疫器官，呼吸道的“卫兵”，很多患儿家长担忧一旦切除，患儿往后容易患其余疾病，如气管炎、肺炎等。其实完整不用担忧，首先切除腺样体是因为它的肥大引起呼吸道和周围器官疾病不得已而切除，其次在咽部，还有其余淋巴构造如舌扁桃体，咽鼓管扁桃体的仍然能够起到呼吸道“卫兵”的作用，同样能够对孩子停止保护。


守旧医治

 

注意营养，预防感冒，提高机体免疫力，踊跃医治原病发。跟着年纪的增加，腺样体将渐渐萎缩，病情能够获得减缓或症状完整消散。

 

药物医疗


有的患儿经常伴随鼻炎，鼻窦炎，颠末适当的医治鼻腔通气恶化，临床症状能够加重。


手术医治

 

如守旧医治有效，应及早手术切除腺样体，手术常同扁桃体切除术一并停止，假如扁桃体不大且很少发炎则可单独行腺样体切除。

 

小儿腺样体肥大的医治办法在临床上有很多，至于毕竟哪种才是得当的办法，还要因人而异，以是倡议家长们带小孩到病院停止具体征询诊治为宜。

 


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\"小儿腺样体肥大的危害有哪些\"

腺样体肥大系咽扁桃体增生。鼻咽部及其毗邻部位或腺样体自身的炎症反复刺激，使腺样体发生病理性增生，称腺样体肥大。那么，儿童小儿腺样体肥大的危害有哪些？

　　

腺样体肥大系咽扁桃体增生。鼻咽部及其毗邻部位或腺样体自身的炎症反复刺激，使腺样体发生病理性增生，称腺样体肥大。该病最多见于儿童，常与慢性扁桃体炎合并存在。

 

　　儿童腺样体肥大常属生理性，婴儿出生时鼻咽部即有淋巴组织，并随年龄而增长，6岁以后逐渐退化，一般10岁以后开始萎缩。若其影响全身健康或邻近器官者，则称为腺样体肥大。

 

　　儿童腺样体肥大的危害

 

　　腺样体面容

 

　　当发生小儿腺样体肥大时，由于鼻塞，儿童为了正常的呼吸会出现张口呼吸的情况。专家表示儿童长期保持张口呼吸，空气产生的气流冲击硬腭会使之变形、高拱，长时间以后就会直接影响面部的发育。患儿会出现牙齿排列不齐、上切牙突出、咬合不良、鼻中隔扁不良症状，对面部肌肉活动造成障碍，使患儿面部缺乏表情，临床上称为腺样体面容。

 

　　气管炎

 

　　小儿腺样体肥大可堵塞鼻腔，使鼻涕逆向咽部，长期的刺激极易诱发气管炎。

 

　　发育迟缓

 

　　由于小儿腺样体肥大导致长期鼻子堵塞，使大脑处于缺血、缺氧的状态，造成孩子精神，食欲不正、记忆力下降、反应迟钝、痛、头晕等现象。

 

　　打鼾

 

　　腺样体肥大堵塞呼吸道，造成呼吸道狭窄而不通畅，气体流动受阻，随着呼吸而发出鼾声。

 

　　专家观点

 

　　找良医网儿科专家认为，扁桃体、腺样体肥大会导致：1、上气道阻塞。出现夜间睡眠时张口呼吸、打鼾、甚至呼吸暂停，可引起慢性缺氧，影响大脑发育和性格异常；2、肿大的扁桃体易反复出现化脓性扁桃体炎。是否需要手术摘除，主要依据是否存在夜间睡眠呼吸障碍-呼吸暂停，以及是否频繁出现化脓性扁桃体炎。


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\"为家长解惑小儿腺样体肥大\"

1、孩子腺样体肥大到底要不要手术？

 

　　这是家长们最为关心的问题，根据孩子的症状、病程、有没有其他并发症来决定的。如果孩子晚上睡眠很差，有憋气，而且时间已经很久了，或已经反复出现这样情况，建议手术。但如果孩子仅因为最近感冒以后出现这样情况，以前没有发生过，或仅有鼾声，无明显憋气，无翻来覆去睡不好觉等情况，建议先观察，不建议马上手术。如果孩子虽然憋气症状不是很明显，但如果孩子伴有鼻-鼻窦炎，或中耳炎，经一段时间药物治疗无明显好转，也建议手术。

 

　　2、孩子几岁可以手术？

 

　　这也是家长们很关心的问题，一般不建议2岁以下孩子手术，因为相对来说，2岁以下孩子术后比较容易复发，但如果孩子症状很重，严重影响孩子的睡眠和生长发育，建议还是早点手术。手术方法和难度是一样的，没有因为孩子年龄小，手术难度和麻醉风险就加大了。

 

　　3、关于扁桃体问题

 

　　家长们也非常关心扁桃体到底要不要手术切除。扁桃体如果肥大影响呼吸，也是需要处理的，特别是如果扁桃体3度肥大，更要处理。一般如果孩子年龄6岁以上，或扁桃体经常发炎，建议全部切除。但如果孩子年龄较小，扁桃体也不经常发炎，可以采用低温等离子部分消融，主要是改善呼吸问题，但也有可能扁桃体再度肥大增生，扁桃体经常发炎可能，需要再次手术的可能。

 

　　4、术前检查

 

　　一般采用鼻内镜检查确诊，如果孩子太小或不能配合，可行鼻咽侧位片检查，一般不需要拍CT确诊。如果已经在外院有片子或鼻内镜检查，而且比较清楚和明确，可以不用再进一步检查。

 

　　5、关于术后的一些问题

 

　　如果单做腺样体手术，术后6小时就可以吃半流质，第二天，如果孩子没有明显咽疼，可以进食普通食物，不需要在饮食上特别注意。

 

　　如果同时做扁桃体手术，一般要有3天左右的流质，然后根据孩子的情况，再决定是否能吃半流质，扁桃体行等离子射频消融的孩子一般一周左右就可以恢复正常饮食。

 

　　如果行扁桃体全切手术，可能术后饮食恢复正常要10天~2周左右，主要是看孩子的恢复情况。术后一般2周随访。如果是外地孩子，单纯行腺样体手术，可以不用来随访。

 

　　如果有置管，每3个月最好随访一次。手术后有些孩子晚上还是打鼾、憋气，甚至比术前更重，家长们非常担心，术后1~2周出现这样的情况是正常的，因为术后会有术腔的水肿，口咽部的肿胀，鼻腔的肿胀等，这些情况随着孩子的逐渐恢复，会慢慢好的。但也有少数孩子因为鼻甲的肥大，或鼻炎-鼻窦炎，或过敏性鼻炎，术后会有一些鼾声，这是没有关系的，用点滴鼻液或治疗鼻-鼻窦炎的药物会有改善的。


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