Songu Murat, Yilmaz Hikmet, Yuceturk Ali Vefa, Gunhan Kivanc, Ince Aysun, Bayturan Ozgur
Department of Otorhinolaryngology/Head and Neck Surgery, Dr. Behcet Uz Children's Hospital, Izmir, Turkey.
Sleep Breath. 2008 Nov;12(4):401-5. doi: 10.1007/s11325-008-0194-6. Epub 2008 May 31.
Catathrenia is a rare, idiopathic, sleep-related respiratory condition characterized by irregular groans, which occur during prolonged expiration in sleep. The origins of catathrenia remain inexplicable, the long-term prognosis unexplained. Moreover, empirical treatment with neither pharmacological nor non-pharmacological approaches was satisfactory.
We report a case of catathrenia with concurrent obstructive sleep apnea complicated with pulmonary hypertension and reviewed the literature.
Treatment with nasal continuous positive airway pressure resulted in marked improvement of catathrenia, obstructive sleep apnea, daytime dyspnea, and pulmonary hypertension for our patient. We think that nasal continuous positive airway pressure can be an option for the treatment of this infrequent but sometimes very disturbing sleep disorder.
梦呓呼吸是一种罕见的、特发性的、与睡眠相关的呼吸状况，其特征为在睡眠中长时间呼气时出现不规则呻吟。梦呓呼吸的病因仍无法解释，其长期预后也不明。此外，无论是药物治疗还是非药物治疗的经验性治疗效果都不尽人意。
我们报告一例并发阻塞性睡眠呼吸暂停并伴有肺动脉高压的梦呓呼吸病例，并对相关文献进行了综述。
对我们的患者而言，采用经鼻持续气道正压通气治疗后，梦呓呼吸、阻塞性睡眠呼吸暂停、日间呼吸困难及肺动脉高压均有显著改善。我们认为经鼻持续气道正压通气可作为治疗这种罕见但有时会造成严重困扰的睡眠障碍的一种选择。
