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腺样体扁桃体肥大患儿的睡眠呼吸暂停(作者译)

[Sleep apnea in a child with adenotonsillar hypertrophy (author's transl)].

作者信息

Navarro González J, Delgado Moreno F, Aguilar Quero F, Carranza Conde M

出版信息

An Esp Pediatr. 1979 May;12(5):433-42.

PMID:223483
Abstract

A three year old with sleep apnea due to adenotonsillar hypertrophy is presented. The picture improved after treatment with antibiotics and corticosteroids, and disappeared after adenotonsillectomy. The symptomatology is studied in relation to primary alveolar hypoventilation and the "sudden death" syndrome in infants. The need of an early diagnosis is emphasized to avoid onset of an irreversible "cor pulmonale". It is suggested that aside from a probable predisposing "central" and constitutional factor in children with this syndrome, apparently there are heterogeneous electroencephalographic sleep patterns.

摘要

本文介绍了一名因腺样体扁桃体肥大导致睡眠呼吸暂停的三岁儿童。经抗生素和皮质类固醇治疗后情况有所改善,腺样体扁桃体切除术后症状消失。对该症状与婴儿原发性肺泡通气不足及“猝死”综合征的关系进行了研究。强调早期诊断的必要性,以避免不可逆的“肺心病”的发生。建议除了该综合征患儿可能存在的易患“中枢性”和体质因素外,显然还存在异质性的脑电图睡眠模式。

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