Hubbard M, Masters I B, Williams G R, Chang A B
Dept of Respiratory Medicine, Mater Misericordiae Children's Hospital, South Brisbane, Queensland, Australia.
Eur Respir J. 2000 Dec;16(6):1205-7. doi: 10.1034/j.1399-3003.2000.16f29.x.
Obstructive sleep apnoea (OSA) secondary to pressure garments used to treat hypertrophic scarring of burns has never been reported. The present study describes two children who presented with OSA following introduction of such garments for management of hypertrophic scars following severe facial and upper body burns. Complex sleep polysomnography confirmed severe OSA with desaturations sufficient to result in physiological dysfunction that significantly improved on removal of the garments. As there is little evidence to suggest that the use of such garments alters the end result, the potentially serious side effect of obstructive sleep apnoea should be considered before their use is advised.
用于治疗烧伤后增生性瘢痕的压力衣继发阻塞性睡眠呼吸暂停(OSA)的情况此前从未有过报道。本研究描述了两名儿童,他们在使用这种压力衣治疗严重面部和上身烧伤后的增生性瘢痕后出现了阻塞性睡眠呼吸暂停。复杂的睡眠多导睡眠图证实存在严重的阻塞性睡眠呼吸暂停,血氧饱和度下降足以导致生理功能障碍,在去除压力衣后有显著改善。由于几乎没有证据表明使用这种压力衣会改变最终结果,因此在建议使用之前应考虑阻塞性睡眠呼吸暂停这种潜在的严重副作用。