title: [Causes and management of pediatric spontaneous tonsillar haemorrhage].
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.
authors.affiliation: Department of Otorhinolaryngology, Shenzhen Children's Hospital, Shenzhen 518026, China.
authors.forename: Z B
authors.initials: ZB
authors.lastname: Wu
authors.affiliation: Department of Otorhinolaryngology, Shenzhen Children's Hospital, Shenzhen 518026, China.
authors.forename: H G
authors.initials: HG
authors.lastname: Pan
authors.affiliation: Department of Otorhinolaryngology, Shenzhen Children's Hospital, Shenzhen 518026, China.
authors.forename: Y S
authors.initials: YS
authors.lastname: Teng
authors.affiliation: Department of Otorhinolaryngology, Shenzhen Children's Hospital, Shenzhen 518026, China.
authors.forename: D L
authors.initials: DL
authors.lastname: Zhang
authors.affiliation: Department of Otorhinolaryngology, Shenzhen Children's Hospital, Shenzhen 518026, China.
authors.forename: X Y
authors.initials: XY
authors.lastname: Ma
authors.affiliation: Department of Otorhinolaryngology, Shenzhen Children's Hospital, Shenzhen 518026, China.
authors.forename: S H
authors.initials: SH
authors.lastname: Han
authors.affiliation: Department of Otorhinolaryngology, Shenzhen Children's Hospital, Shenzhen 518026, China.
authors.forename: L
authors.initials: L
authors.lastname: Li
mesh_terms: D000208:Acute Disease; D002648:Child; D005260:Female; D006467:Hemophilia A / Q000150:complications*; D006470:Hemorrhage / Q000209:etiology* / Q000628:therapy*; D004854:Herpesvirus 4, Human; D006801:Humans; D007244:Infectious Mononucleosis / Q000150:complications*; D008297:Male; D014066:Palatine Tonsil / Q000098:blood supply*; D012189:Retrospective Studies; D014069:Tonsillitis / Q000150:complications*
keywords: Adenoids; Haemorrhage; Hemophilia A; Herpesvirus 4, human