López-Herce Cid J, García Teresa M A, Ruiz Beltrán A, Monleón Luque M, Molina E, Casado Flores J
Servicio de Cuidados Intensivos Pediátricos, Hospital del Niño Jesús, Universidad Autónoma de Madrid.
An Esp Pediatr. 1991 Nov;35(5):347-9.
We report three children with obstructive sleep apnea syndrome, two secondary to pharyngeal obstruction and the third secondary to laryngomalacia. All patients presented important respiratory efforts with inspiratory stridor during sleep, frequent obstructive apneas with important hipoxemia, sweating, and arousal episodes. Two patients suffered excessive daytime sleepiness, behavioral disturbances and development delay, and the third, intelligence in the borderline retardation range, and important heart arritmias (bradycardia with ventricular extrasystoles) during obstructive apneas. In two children the Obstructive Sleep Apnea Syndrome and the secondary symptoms disappeared after adenotonsillectomy. The patient with laryngomalacia required tracheostomy.
我们报告了三名患有阻塞性睡眠呼吸暂停综合征的儿童，其中两名继发于咽部梗阻，第三名继发于喉软化症。所有患者在睡眠期间均表现出明显的呼吸用力，并伴有吸气性喘鸣，频繁出现阻塞性呼吸暂停，伴有严重低氧血症、出汗和觉醒发作。两名患者出现白天过度嗜睡、行为障碍和发育迟缓，第三名患者在阻塞性呼吸暂停期间智力处于边缘发育迟缓范围，并伴有严重心律失常（心动过缓伴室性早搏）。两名儿童在腺样体扁桃体切除术后，阻塞性睡眠呼吸暂停综合征及继发症状消失。患有喉软化症的患者需要进行气管切开术。
