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先天性中枢性低通气综合征:一例报告

Congenital Central Hypoventilation Syndrome: A Case Report.

作者信息

Kumar Gaurav, Chalipat Shiji, Malwade Sudhir, Chavan Sanjay, Pimparkar Sanika

机构信息

Pediatrics, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, IND.

Pediatric Neurology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, IND.

出版信息

Cureus. 2024 Jul 19;16(7):e64884. doi: 10.7759/cureus.64884. eCollection 2024 Jul.

DOI:10.7759/cureus.64884
PMID:39156448
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11330568/
Abstract

Congenital central hypoventilation syndrome (CCHS) is a rare cause of apnea and hypoventilation requiring long-term multidisciplinary care. In this article, we report the case of a two-month-old female child who presented with recurrent apnea and cyanosis, requiring long-term ventilation. After ruling out other common causes of apnea like sepsis, metabolic disorders, and neuromuscular disorders, a genetic study was done, which confirmed the diagnosis of CCHS. The child was discharged on home oxygen therapy, and the parents were counseled about genetic testing and informed about the prognosis and requirement for home ventilation therapy, as well as parental testing.

摘要

先天性中枢性低通气综合征(CCHS)是一种导致呼吸暂停和通气不足的罕见病因,需要长期多学科护理。在本文中,我们报告了一名两个月大女童的病例,该女童反复出现呼吸暂停和发绀,需要长期通气治疗。在排除了败血症、代谢紊乱和神经肌肉疾病等其他常见的呼吸暂停病因后,进行了基因研究,确诊为CCHS。该患儿出院后接受家庭氧疗,向其父母提供了基因检测咨询,并告知了预后、家庭通气治疗的要求以及父母检测的相关信息。

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1
Congenital Central Hypoventilation Syndrome: A Case Report.先天性中枢性低通气综合征:一例报告
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2
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本文引用的文献

1
Genotype-phenotype relationship in Japanese patients with congenital central hypoventilation syndrome.日本先天性中枢性低通气综合征患者的基因型-表型关系
J Hum Genet. 2015 Sep;60(9):473-7. doi: 10.1038/jhg.2015.65. Epub 2015 Jun 11.
2
An official ATS clinical policy statement: Congenital central hypoventilation syndrome: genetic basis, diagnosis, and management.美国胸科学会官方临床政策声明:先天性中枢性肺泡通气不足综合征:遗传基础、诊断和治疗。
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3
Cortical processing of respiratory occlusion stimuli in children with central hypoventilation syndrome.中枢性低通气综合征患儿对呼吸阻塞刺激的皮质处理
Am J Respir Crit Care Med. 2008 Oct 1;178(7):757-64. doi: 10.1164/rccm.200804-606OC. Epub 2008 Jul 24.
4
Facial phenotype in children and young adults with PHOX2B-determined congenital central hypoventilation syndrome: quantitative pattern of dysmorphology.由PHOX2B基因决定的先天性中枢性低通气综合征患儿及青年成人的面部表型:畸形的定量模式
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Acute respiratory failure and sleep-disordered breathing in Arnold-Chiari malformation.阿诺德-奇亚里畸形中的急性呼吸衰竭与睡眠呼吸障碍
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FMRI responses to hyperoxia in congenital central hypoventilation syndrome.先天性中枢性低通气综合征中功能磁共振成像对高氧的反应
Pediatr Res. 2005 Apr;57(4):510-8. doi: 10.1203/01.PDR.0000155763.93819.46. Epub 2005 Feb 17.
7
The French Congenital Central Hypoventilation Syndrome Registry: general data, phenotype, and genotype.法国先天性中枢性低通气综合征登记处:一般数据、表型和基因型。
Chest. 2005 Jan;127(1):72-9. doi: 10.1378/chest.127.1.72.
8
Idiopathic congenital central hypoventilation syndrome: analysis of genes pertinent to early autonomic nervous system embryologic development and identification of mutations in PHOX2b.特发性先天性中枢性低通气综合征:与早期自主神经系统胚胎发育相关基因的分析及PHOX2b基因突变的鉴定
Am J Med Genet A. 2003 Dec 15;123A(3):267-78. doi: 10.1002/ajmg.a.20527.
9
Polyalanine expansion and frameshift mutations of the paired-like homeobox gene PHOX2B in congenital central hypoventilation syndrome.先天性中枢性低通气综合征中配对样同源盒基因PHOX2B的聚丙氨酸扩展和移码突变
Nat Genet. 2003 Apr;33(4):459-61. doi: 10.1038/ng1130. Epub 2003 Mar 17.
10
Ventilatory response to exercise in children with congenital central hypoventilation syndrome.先天性中枢性低通气综合征患儿运动时的通气反应
Am Rev Respir Dis. 1993 May;147(5):1185-91. doi: 10.1164/ajrccm/147.5.1185.