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扁桃体和腺样体感染适当的诊断和治疗取决于:1.对正常人的防御机理和损害宿主防御机理的因素(先天性或获得性)的全面了解;2.在诊断和治疗时对每个病人免疫活性的全面临床估价;3.对宿主免疫活性的实验室估价,以检验和判断疗效。在抗菌素前年代,链球菌病并发很多症侯群:链球菌性咽炎和脓皮病、猩红热、肺炎、菌血症、丹毒、蜂窝织炎、风湿热和急性肾小球性肾炎。当时临床医生使口咽微生物正常化(包括排除化脓性链球菌)的唯一手段是扁桃体腺样体切除术。难怪手术变得如此普遍和广泛应用,以
The proper diagnosis and treatment of tonsil and adenoid infection depend on: 1. a comprehensive understanding of the defense mechanisms of normal individuals and factors that compromise the host’s defense mechanisms (congenital or acquired); 2. the diagnosis and treatment of each Complete clinical evaluation of patient’s immunocompetence; 3. Laboratory evaluation of host immune activity to test and determine efficacy. In the pre-antibiotic years, streptococcal disease complicated by many syndromes: streptococcal pharyngitis and pyoderma, scarlet fever, pneumonia, bacteremia, erysipelas, cellulitis, rheumatic fever and acute glomerulonephritis. The only time clinicians normalized oropharyngeal microbes (including the elimination of Streptococcus pyogenes) was tonsillectomy. No wonder surgery has become so common and widely used