One case of pediatric obstructive sleep apnea hypopnea syndrome with pulmonary hypertension
-
-
关键词:
- 睡眠呼吸暂停低通气综合征,阻塞性 /
- 高血压,肺性 /
- 小儿
Abstract: The clinical manifestation included snoring and mouth breathing for 2years,repeated coughing and shortness of breath in action for more than 1year.Physical examination of oral cavity showed tonsils were in gradeⅢ.The endoscopy showed 2/3of postnaris were blocked by the adenoids.The preoperative ultrasonic cardiogram revealed the right atrial and right ventricular dilatation,pulmonary artery widened.The preoperative polysomnography(PSG)showed apnea-hypopnea index(AHI)was 28.5events an hour,and the lowest oxygen saturation(LSaO2)was 39%.The patient was diagnosed as severe obstructive sleep apnea hypopnea syndrome with pulmonary hypertension.The postoperative PSG showed the AHI was 11.7events an hour,and the LSaO2 was 86%.The ultrasonic cardiogram at 5months after surgery didn′t show any abnormalities. -
-
[1] COHEN S,SPRINGER C,PERLES Z,et al.Cardiac,lung,and brain thrombosis in a child with obstructive sleep apnea[J].Pediatr Pulmonol,2010,45:836-839.
[2] CHOI H S,YU J J,KIM Y H,et al.Pulmonary hypertension due to obstructive sleep apnea in a child with Rubinstein-Taybi syndrome[J].Korean J Pediatr,2012,55:212-214.
[3] MARTHA V F1,MOREIRA JDA S,MARTHA A S,et al.Reversal of pulmonary hypertension in children after adenoidectomy or adenotonsillectomy[J].Int J Pediatr Otorhinolaryngol,2013,77:237-240.
[4] CHANG S J,CHAE K Y.Obstructive sleep apnea syndrome in children:Epidemiology,pathophysiology,diagnosis and sequelae[J].Korean J Pediatr,2010,53:863-871.
[5] KWOK K L,NG D K,CHAN C H.Cardiovascular changes in children with snoring and obstructive sleep apnoea[J].Ann Acad Med Singapore,2008,37:715-721.
[6] 中华耳鼻咽喉头颈外科杂志编委会,中华医学会耳鼻咽喉科学分会.儿童阻塞性睡眠呼吸暂停低通气综合征诊疗指南草案(乌鲁木齐)[J].中华耳鼻咽喉头颈外科杂志,2007,42(2):83-84.
-
计量
- 文章访问数: 35
- PDF下载数: 22
- 施引文献: 0
下载: