Leiberman A, Tal A, Brama I, Sofer S
Department of Otolaryngology, Soroka University Hospital, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
Int J Pediatr Otorhinolaryngol. 1988 Oct;16(1):39-44. doi: 10.1016/0165-5876(88)90098-5.
Obstructive sleep apnea (OSA) was diagnosed in 14 infants less than 18 months of age. Snoring, apnea, failure to thrive, developmental delay and recurrent respiratory infections were the main presenting symptoms. The diagnosis was made by polysomnographic studies or overnight monitoring. Adenotonsillectomy resulted in the relief of symptoms and signs in 13 children. In one infant prolonged nasopharyngeal intubation was needed. An increased awareness of OSA in young infants may prevent the delay in diagnosis, will allow early treatment and thus prevent the development of sequela or complications associated with this syndrome.
14名18个月以下的婴儿被诊断为阻塞性睡眠呼吸暂停(OSA)。打鼾、呼吸暂停、生长发育迟缓、发育延迟和反复呼吸道感染是主要的症状表现。诊断通过多导睡眠图研究或夜间监测做出。腺样体扁桃体切除术使13名儿童的症状和体征得到缓解。1名婴儿需要长期鼻咽插管。提高对幼儿阻塞性睡眠呼吸暂停的认识可避免诊断延迟,实现早期治疗,从而预防与该综合征相关的后遗症或并发症的发生。