Kang Min Ju, Kang Yun Jin, Park Chan-Soon
Department of Otorhinolaryngology-Head and Neck Surgery, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Department of Otorhinolaryngology-Head and Neck Surgery, Yeouido St. Mary Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
J Rhinol. 2023 Mar;30(1):41-44. doi: 10.18787/jr.2023.00004. Epub 2023 Mar 30.
Positive airway pressure (PAP) therapy is known to be an effective treatment for obstructive sleep apnea (OSA) that does not generally have serious complications. However, pneumothorax following lung barotrauma with the use of PAP has rarely been reported. We recently experienced the case of a 72-year old male patient with chronic obstructive pulmonary disease who developed pneumothorax after the use of automatic PAP (APAP). After 4 months of APAP use with a pressure of 4-8 cm HO, he complained of sudden severe dyspnea at midnight. He eventually underwent surgical repair for pneumothorax. After 4 months, continuous PAP with low pressure of 5 cm HO was applied without any complications. In summary, we emphasize the risk of barotrauma when PAP is used by OSA patients with lung disease.
已知气道正压（PAP）疗法是治疗阻塞性睡眠呼吸暂停（OSA）的有效方法，一般不会产生严重并发症。然而，使用PAP导致肺气压伤后发生气胸的情况鲜有报道。我们最近遇到一例72岁患有慢性阻塞性肺疾病的男性患者，在使用自动PAP（APAP）后发生了气胸。在使用压力为4 - 8厘米水柱的APAP 4个月后，他在午夜突然出现严重呼吸困难。他最终接受了气胸手术修复。4个月后，应用5厘米水柱的低压持续气道正压通气，未出现任何并发症。总之，我们强调患有肺部疾病的OSA患者使用PAP时存在气压伤风险。
