自发性扁桃体出血(附2例临床分析)

Spontaneous Tonsillar Hemorrhage(2 Cases Clinical Analysis)

目的:讨论自发性扁桃体出血的病因、诊断及治疗。方法:2例自发性扁桃体出血患者,分别行局部缝扎、扁桃体切除+颈外动脉造影选择性动脉栓塞治疗。结果:2例均治愈,随访2年无复发。结论:自发性扁桃体出血病因不明,目前考虑主要与细菌感染有关,诊断依靠临床表现,治疗方法包括局部烧灼、扁桃体切除、颈外动脉造影选择性动脉栓塞等。

Objective：To explore the etiology of spontaneous tonsillar hemorrhage （STH）, also the diagnosis and management. Method：2 cases of diagnosed STH were treated by tonsil local suture, tonsillectomy or digital subtraction angiography （DSA）procedure. Result： Both cases were cured, and were followed up more than 2 years after the operation and no patient was found recurrence. Conclusion： The etiology of STH is not clear. It is mainly relative to bacterial infection. The management should be topical silver nitrate, topical suture, tonsillectomy and DSA.