Any organ of the human body is not superfluous, but any situation is not absolute, and the disease needs dialectical thinking. If when a certain site repeatedly gets sick (such as repeated tonsil suppuration) or an acute disease (such as acute appendicitis), a certain site becomes a focus of infection, which can cause a series of hazards. At this time, the harm is greater than the benefit, and removing it is more important than retaining it.

　　 Not long ago, I received a Letter from the parents: "Dr. Liu, do you remember that you once treated a 2-year-old 4-month-old girl with tonsillitis 12 times a year? In April 2009, the child lived in the pediatrics because of tonsil suppuration. You are us The doctor in charge. It is clear to remember that you said to me:''If the tonsils become purulent this time, consider cutting off. When I was a child, the tonsils were aging and the doctor recommended to remove them, but I always hesitated and later got myocarditis. I regretted that it was late to pick up the tonsils.''After hearing your words, I finally made up my mind. At the end of May, the child fell ill again, and I went back to the ENT doctor. I had surgery on June 4 and the operation was very successful. The child has been very well after the operation, and the regenerative disease is a small problem of headache and brain fever. There is no need to hang the bottle for ten days every month."

　　I saw this letter from my parents, I am very Happy, I think it is a very meaningful letter. Because in the clinic, we often encounter some cases similar to the children in this letter, almost all parents have similar considerations: the children''s tonsils are repeatedly purulent, and it is best to cut them off after listening to the doctor. But another doctor of internal medicine said, as conservative as possible, tonsils have a certain defense function. Will cutting cause immunological dysfunction? Instead, it will aggravate the condition? Surgical operations also have surgical risks and require anesthesia. Is this surgical value not worth moving?

　　After reading the letter from the child’s parents, I want to combine My personal experience and some clinical experience, talk about my understanding of tonsillectomy. No organ in the human body is superfluous, but any situation is not absolute. To treat disease requires dialectical thinking. If when a certain site repeatedly gets sick (such as repeated tonsil suppuration) or an acute disease (such as acute appendicitis), a certain site becomes a focus of infection, which can cause a series of hazards. At this time, the harm is greater than the benefit, and removing it is more important than retaining it.

　　Suggestions and experience

　　1 Children with repeated tonsil purulence should first look for the cause to see if the child has chronic rhinitis? Are there any habits such as drinking milk before bed, anemia, malnutrition, or immune deficiency? You need to go to the hospital to see a doctor. The incentive is removed, and the procedure of surgery is naturally eliminated.

　　 2. Parents should understand the characteristics of tonsil development. Children''s tonsils begin to develop 10 months after birth, and the peak period of development is 4 to 8 years old. At this age, the tonsils are slightly larger and most likely to catch a cold; they stop developing around 12 years old. Therefore, let the children develop the habit of gargle after meals and brush their teeth before going to bed.

　　 3. Among the children with enlarged tonsils, a considerable number of children are allergic, such as eczema and urticaria, allergic rhinitis, and frequent constipation. In addition, it may also suffer from adenoid fat that makes mouth breathing and sleep snoring, asthma, etc. Therefore, the child''s repeated illnesses are not only related to tonsil infection, but also related to chronic rhinitis and allergic constitution. That is to say, when the tonsils are repeatedly infected, they must also be checked for other diseases, not just injections and anti-inflammatory.

　　 4. Tonsillar suppuration may be complicated by myocarditis and nephritis. Therefore, when your child is sick, don''t just check the blood routine. When necessary, you need to check the urine routine and myocardial enzymes.

　　5 Tonsil suppuration combined with high fever does not retreat, we should pay attention to rule out whether it is combined with viral infection. For example, EB virus infection can cause infectious mononucleosis or Kawasaki disease. This type of disease also manifests as tonsil suppuration in children.

　　Tips

　　Will the tonsil affect the body’s immune function? On the one hand, there are evidence-based medical data that children who have tonsils removed have no effect Report on immune function. ; On the other hand, if the removal is worse than the removal, it must be removed. Of course, depending on the specific situation and whether it is picked or not, it is necessary to take the child to the hospital for the doctor of internal medicine and the doctor of surgery to listen to their comprehensive opinions and formulate the most suitable plan for their children.