Chiu H F, Lee S, Ho K W, Leung C C, Chen C N
Department of Psychiatry, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin.
Singapore Med J. 1990 Oct;31(5):466-8.
Sleep apnoea syndrome (SAS) is common in the West but its prevalence is uncertain in Southeast Asia. Five Chinese patients seen in a Sleep Assessment Unit in Hong Kong are presented to illustrate the spectrum of clinical features and treatment methods involved in obstructive and central sleep apnoea. The first patient is a 45-year old woman with severe obstructive SAS and cardiopulmonary complications who improved significantly after tracheostomy. The second patient is a 43-year old man who improved with weight reduction and protriptyline. The third is a 42-year old man whose SAS did not improve with uvulopalatopharyngoplasty but with continuous positive airway pressure (CPAP). The fourth is a 12-year old girl with obstructive SAS who improved significantly after tonsillectomy. The last patient is a 52-year old man with central SAS who improved with CPAP.
睡眠呼吸暂停综合征（SAS）在西方很常见，但在东南亚其患病率尚不确定。本文介绍了在香港一家睡眠评估单位就诊的5名中国患者，以说明阻塞性和中枢性睡眠呼吸暂停所涉及的临床特征和治疗方法的范围。第一名患者是一名45岁的女性，患有严重的阻塞性SAS和心肺并发症，气管切开术后病情显著改善。第二名患者是一名43岁的男性，通过减轻体重和使用普罗替林病情得到改善。第三名是一名42岁的男性，其SAS在悬雍垂腭咽成形术后没有改善，但使用持续气道正压通气（CPAP）后有所改善。第四名是一名12岁的女孩，患有阻塞性SAS，扁桃体切除术后病情显著改善。最后一名患者是一名52岁的男性，患有中枢性SAS，使用CPAP后病情改善。
