[一例通过双水平气道正压通气（BiPAP）改善的儿童肥胖低通气综合征（OHS）病例]

[A case of child obesity hypoventilation syndrome (OHS) improved by bi-level positive airway pressure (BiPAP)].

作者信息

Matsuzawa Kuniaki, Niinomi Kou, Tsukaguchi Katsuhiko, Okamura Hideo, Tamura Mouka, Kimura Hiroshi

机构信息

Department of Internal Medicine, Nishinara National Hospital, 2-789 Shichijou, Nara city, Nara 630-8053, Japan.

出版信息

Nihon Kokyuki Gakkai Zasshi. 2003 Sep;41(9):681-4.

PMID:14531307

Abstract

A 5-year-old boy was admitted to our hospital because of severe obesity and disordered breathing with snoring during sleep. Child OHS was diagnosed using polysomnography (PSG). Although he was treated initially with nasal CPAP, it was not acceptable to him. BiPAP produced marked reduction of the respiratory disorders during sleep, as confirmed by PSG. Few reports of BiPAP for child OHS have appeared in Japan. We concluded that child OHS could be successfully treated with BiPAP when nasal CPAP was not acceptable.

摘要

一名5岁男孩因严重肥胖和睡眠时呼吸紊乱伴打鼾入住我院。通过多导睡眠图（PSG）诊断为儿童阻塞性睡眠呼吸暂停低通气综合征（OHS）。尽管最初给他使用了鼻持续气道正压通气（CPAP）治疗，但他无法接受。经PSG证实，双水平气道正压通气（BiPAP）显著减轻了睡眠期间的呼吸紊乱。在日本，关于儿童OHS使用BiPAP的报道很少。我们得出结论，当鼻CPAP不可接受时，BiPAP可成功治疗儿童OHS。