急性腎炎、风湿热是青壮年和儿童的多发病。在經內,几科适当治疗后,虽然部分患者可获痊愈;但另一部分仍可导致甚为严重的后果。目前,多数作者认为此二病是乙型溶血性鏈球菌(以下簡称乙鏈)感染后的变态反应,并认为除皮肤、牙根和鼻竇的感染灶外,扁桃体是乙鏈侵入机体的主要途径。因此,在治疗具有扁桃体炎病灶的急性腎炎和风湿热患者时,早期切除扁桃体应給予应有的注意。但迄今尚未引起耳鼻咽喉科医师的普遍重视。早在1882年文献曾报导,于急性风湿热一天后进行扁桃体切除术,术后体溫及关节紅肿均显著下降。但目前,强調在病灶病急性期施行手术者仍系少数。有的学者反对在急性期手术,理由是怕引起病灶病的恶化,导致尿毒症或心力衰竭等严重併发症覀兏荻苑⒉』频牧私饧霸诰≡缃獬颊咄纯嗟乃枷胫傅枷?經过反 Acute nephritis, rheumatic fever is young and children with multiple diseases. After proper treatment by internal and part of the body, although some patients can be cured, the other part can still cause very serious consequences. At present, most authors believe that these two diseases are the allergic reaction after the infection of Streptococcus B (hereinafter referred to as B chain), and think that tonsils are the main pathways of invading B chain into the body besides the infection of skin, root and sinus . Therefore, in the treatment of patients with acute nephritis and rheumatic fever with focal tonsillitis, early removal of the tonsil should be given due diligence. However, so far, otolaryngologists have not drawn the universal attention. As early as 1882, it was reported in literatures that tonsillectomy was performed one day after acute rheumatic fever, and postoperative body temperature and joint swelling were significantly decreased. However, at present, it is emphasized that there are still a few patients undergoing surgery in the acute phase of focal disease. Some scholars are opposed to surgery in the acute phase on the grounds that fear of causing the deterioration of the disease, leading to serious complications such as uremia or heart failure, etc.  覀 兏  Diyuan Court ⒉  frequency and animal husbandry 饧 诰 ≡ 缃 獬  cheek duh Pure 嗟 is flail shank Fu?? After anti