Non-invasive positive pressure ventilation for residual OSAHS with hypercapnia: a case report
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摘要: 本文报道1例11岁2个月的女性患儿。6年前，患儿因睡眠打鼾在我科行扁桃体伴腺样体切除术，但术后效果欠佳。本次入院前2周，患儿睡眠打鼾加重，伴憋气，且无法平躺睡眠，遂于2023年12月1日再次入住我科。结合病史及辅助检查，诊断为①阻塞性睡眠呼吸暂停低通气综合征(重度)；②高碳酸血症。予自动双水平气道正压通气(BiPAP)治疗后症状缓解，治疗期间睡眠呼吸监测指标恢复正常。随访1个月后，患儿生长发育较前明显加快，嗜睡问题得到缓解。
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关键词:
- 无创正压通气 /
- 阻塞性睡眠呼吸暂停低通气综合征 /
- 高碳酸血症 /
- 儿童
Abstract: This case report outlines the treatment of an 11-year-old female who underwent adenotonsillectomy six years ago for snoring but experienced postoperative inefficacy. Her symptoms worsened two weeks before readmission, with increased snoring and sleep apnea, disabling her from lying down to sleep. She was readmitted on December 1, 2023, and diagnosed with severe obstructive sleep apnea hypopnea syndrome and hypercapnia. Automatic BiPAP alleviated her symptoms, with sleep breathing parameters normalizing during treatment. Follow-up at one month showed significant acceleration in her growth and resolution of her hypersomnolence issue. -
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