矛盾性失眠与非典型阻塞性睡眠呼吸暂停或混合性睡眠障碍？病例报告与文献综述
Paradoxical Insomnia Versus Atypical Obstructive Sleep Apnea or Mixed Disorder? Case Report and Literature Review.
作者信息
Haslam Alden Xavier, Romero Adrián Coulson, Espinoza Torrez Camila Angélica, Ampié Espinoza Manuel
机构信息
Hospital Escuela Alejandro Dávila Bolaños Managua Nicaragua.
Hospital Escuela Manolo Morales Peralta Managua Nicaragua.
出版信息
Clin Case Rep. 2025 Sep 10;13(9):e70883. doi: 10.1002/ccr3.70883. eCollection 2025 Sep.
Abstract
Paradoxical insomnia remains an underdiagnosed condition due to its subjective nature and diagnostic challenges. Clinicians should suspect it in patients with severe sleep complaints but minimal daytime impairment, particularly those resistant to multiple treatments. Coexisting disorders, such as obstructive sleep apnea, must be considered to ensure an accurate diagnosis and appropriate management.
摘要
反常性失眠因其主观性和诊断挑战，仍然是一种诊断不足的病症。临床医生应对严重睡眠主诉但日间功能损害轻微的患者，尤其是那些对多种治疗有抵抗性的患者怀疑患有此病。必须考虑并存疾病，如阻塞性睡眠呼吸暂停，以确保准确诊断和适当管理。
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