Rosso G L, Barbarito N, Lupi S, Candura S M
Divisione di Medicina del Lavoro, Fondazione Salvatore Maugeri, Clinica del Lavoro e della Riabilitazione, IRCCS, Istituto Scientifico di Pavia, Italy.
G Ital Med Lav Ergon. 2004 Jan-Mar;26(1):33-8.
Three subjects suffering from sleep-disordered breathing are described. Two of them (a 37-year-old lorry driver with obstructive sleep apnea, and a 47-year-old bricklayer with upper airway resistance syndrome) had suffered several accidents at work in few months, due to daytime sleepiness. The third patient (45-year-old) had developed (central and obstructive) sleep apnea after having been exposed to organic solvents for 15 years as a painter. In all the three subjects, polysomnography led to correct diagnosis, and nocturnal ventilotherapy with nasal CPAP (continuous positive airway pressure) considerably improved the clinical picture. The cases presented illustrate the twofold interest of sleep-disordered breathing for Occupational Medicine: on the one hand, these syndromes may reduce job performance and increase the accident risk; on the other hand, they may recognize as a risk factor the occupational exposure to solvents.
本文描述了三名患有睡眠呼吸障碍的患者。其中两名患者（一名37岁患有阻塞性睡眠呼吸暂停的卡车司机和一名47岁患有上气道阻力综合征的泥瓦匠）在几个月内由于白天嗜睡在工作中发生了几起事故。第三名患者（45岁）作为油漆工接触有机溶剂15年后出现了（中枢性和阻塞性）睡眠呼吸暂停。在所有这三名患者中，多导睡眠图检查得出了正确诊断，夜间使用鼻持续气道正压通气（CPAP）进行通气治疗显著改善了临床症状。所呈现的病例说明了睡眠呼吸障碍对职业医学的双重意义：一方面，这些综合征可能会降低工作表现并增加事故风险；另一方面，它们可能会将职业性接触溶剂视为一个风险因素。
