He Shan, Chen Jie
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2015 Apr;29(7):664-5.
The clinical manifestation included snoring and mouth breathing for 2 years, repeated coughing and shortness of breath in action for more than 1 year. Physical examination of oral cavity showed tonsils were in grade III. The endoscopy showed 2/3 of postnaris were blocked by the adenoids. The preoperative ultrasonic cardiogram revealed the right atrial and right ventricular dilatation, pulmonary artery widened. The preoperative polysomnography (PSG) showed apnea-hypopnea index (AHI) was 28.5 events an hour, and the lowest oxygen saturation (LSaO2) was 39%. The patient was diagnosed as severe obstructive sleep apnea hypopnea syndrome with pulmonary hypertension. The postoperative PSG showed the AHI was 11.7 events an hour, and the LSaO2 was 86%. The ultrasonic cardiogram at 5 months after surgery didn't show any abnormalities.
临床表现为打鼾及口呼吸2年，活动时反复咳嗽、气短1年余。口腔检查示扁桃体Ⅲ度肿大。鼻内镜检查显示后鼻孔2/3被腺样体堵塞。术前超声心动图示右心房及右心室扩大，肺动脉增宽。术前多导睡眠图（PSG）显示呼吸暂停低通气指数（AHI）为每小时28.5次事件，最低血氧饱和度（LSaO2）为39%。该患者被诊断为重度阻塞性睡眠呼吸暂停低通气综合征伴肺动脉高压。术后PSG显示AHI为每小时11.7次事件，LSaO2为86%。术后5个月的超声心动图未显示任何异常。
