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Crouzon 综合征患者睡眠呼吸暂停综合征的双水平气道正压通气治疗。

Bilevel positive airway pressure treatment of sleep apnea syndrome in a patient with Crouzon syndrome.

机构信息

Hanoi Medical University, 1 Ton That Tung street, Dong Da, Hanoi, Vietnam.

Respiratory Center, Bach Mai Hospital, Hanoi, Vietnam.

出版信息

Sleep Breath. 2024 Nov 30;29(1):34. doi: 10.1007/s11325-024-03165-3.

DOI:10.1007/s11325-024-03165-3
PMID:39614948
Abstract

Crouzon syndrome (CS) is a hereditary disorder characterized by deformities of the face and skull brought on by syndromic craniosynostosis or the premature fusion of coronal sutures. Pediatric patients with Crouzon syndrome have a high likelihood of developing obstructive sleep apnea (OSAS), primarily due to skeletal hypoplasia and facial dysmorphism. Treatment of OSAS in patients with Crouzon syndrome requires multidisciplinary and sequential treatment planning because Crouzon syndrome often has different phenotypes with varying severity in OSA and facial dysmorphism. In this clinical case, we describe the first case of a child with Crouzon syndrome with sleep apnea who was treated with positive pressure ventilation in Vietnam.

摘要

克鲁宗综合征(CS)是一种遗传性疾病,其特征为颅缝早闭或冠状缝过早融合导致的面部和颅骨畸形。患有克鲁宗综合征的儿科患者发生阻塞性睡眠呼吸暂停(OSAS)的可能性较高,主要是由于骨骼发育不良和面部畸形。由于克鲁宗综合征在 OSA 和面部畸形方面具有不同的表型,且严重程度各异,因此患有克鲁宗综合征的 OSAS 患者的治疗需要多学科和序贯治疗计划。在本临床病例中,我们描述了越南首例患有睡眠呼吸暂停的克鲁宗综合征患儿经正压通气治疗的病例。

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本文引用的文献

1
The effect of continuous positive airway pressure on obstructive sleep apnea in children with syndromic craniosynostosis.综合征型颅缝早闭患儿持续气道正压通气对阻塞性睡眠呼吸暂停的影响。
Sleep Breath. 2024 Jun;28(3):1439-1448. doi: 10.1007/s11325-023-02981-3. Epub 2024 Jan 5.
2
Interpreting CPAP device respiratory indices in children.解读儿童持续气道正压通气(CPAP)设备的呼吸指数
J Clin Sleep Med. 2020 Oct 15;16(10):1655-1661. doi: 10.5664/jcsm.8618.
3
Assessment of obstructive sleep apnoea (OSA) in children: an update.儿童阻塞性睡眠呼吸暂停(OSA)的评估:最新进展
Acta Otorhinolaryngol Ital. 2019 Oct;39(5):289-297. doi: 10.14639/0392-100X-N0262.
4
The Effect of Midface Advancement Surgery on Obstructive Sleep Apnoea in Syndromic Craniosynostosis.
J Craniofac Surg. 2018 Jan;29(1):92-95. doi: 10.1097/SCS.0000000000004105.
5
Guideline for Care of Patients With the Diagnoses of Craniosynostosis: Working Group on Craniosynostosis.颅缝早闭诊断患者护理指南:颅缝早闭工作组
J Craniofac Surg. 2015 Sep;26(6):1735-807. doi: 10.1097/SCS.0000000000002016.
6
Obstructive sleep apnea in children with syndromic craniosynostosis: long-term respiratory outcome of midface advancement.综合征型颅缝早闭患儿的阻塞性睡眠呼吸暂停:上颌骨前移的长期呼吸结局。
Int J Oral Maxillofac Surg. 2010 Feb;39(2):115-21. doi: 10.1016/j.ijom.2009.11.021. Epub 2010 Jan 6.