Causes and management of pediatric spontaneous tonsillar haemorrhage / 中华耳鼻咽喉头颈外科杂志

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.