小儿阻塞性睡眠呼吸暂停

Pediatric obstructive sleep apnea.

作者信息

Schwengel Deborah A, Dalesio Nicholas M, Stierer Tracey L

机构信息

Division of Pediatric Anesthesiology, Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA; Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Division of Pediatric Anesthesiology, Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

出版信息

Anesthesiol Clin. 2014 Mar;32(1):237-61. doi: 10.1016/j.anclin.2013.10.012.

DOI:10.1016/j.anclin.2013.10.012

PMID:24491659

Abstract

Obstructive sleep apnea syndrome (OSAS) is a disorder of airway obstruction with multisystem implications and associated complications. OSAS affects children from infancy to adulthood and is responsible for behavioral, cognitive, and growth impairment as well as cardiovascular and perioperative respiratory morbidity and mortality. OSAS is associated commonly with comorbid conditions, including obesity and asthma. Adenotonsillectomy is the most commonly used treatment option for OSAS in childhood, but efforts are underway to identify medical treatment options.

摘要

阻塞性睡眠呼吸暂停综合征（OSAS）是一种气道阻塞性疾病，具有多系统影响及相关并发症。OSAS影响从婴儿期到成年期的儿童，可导致行为、认知和生长发育受损，以及心血管和围手术期呼吸系统的发病和死亡。OSAS通常与肥胖和哮喘等合并症相关。腺样体扁桃体切除术是儿童OSAS最常用的治疗选择，但目前正在努力寻找药物治疗方案。