Beinart Dylan, Williams Zander J, Cenerini Giovanni, Orton Christopher M, Pavitt Matthew J, Sandhu Guri S, Hull James H
Department of Respiratory Medicine, Royal Brompton Hospital, London, England.
Department of Respiratory Medicine, Royal Brompton Hospital, London, England; Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, Pisa, Italy.
Chest. 2025 Nov;168(5):e149-e152. doi: 10.1016/j.chest.2025.06.015.
A 17-year-old previously elite-level tennis player was referred with dyspnea, fatigue, and excessive sleepiness during prolonged matches. He would become somnolent between tennis sets to the point where he had several episodes of near collapse during play. He was not excessively sleepy during the day (Epworth Sleepiness Scale score 6) and did not report any non-exertional episodes of collapse or cataplexy. His medical history was notable for a significant road traffic accident at age 10, requiring endotracheal intubation and prolonged ventilation for 14 days. His recovery was complicated by subglottic stenosis that was later repaired with laryngotracheal reconstruction. At age 13, he underwent subglottic balloon dilatation as well as a left arytenoidectomy and division or interarytenoid scar band. The patient was referred to a specialized dyspnea service for further evaluation.
一名17岁的前精英级网球运动员因在长时间比赛中出现呼吸困难、疲劳和过度嗜睡而前来就诊。在网球比赛的局间休息时，他会变得嗜睡，以至于在比赛中有几次几乎昏厥。他白天并不过度嗜睡（爱泼沃斯嗜睡量表评分为6分），也没有报告任何非运动性昏厥或猝倒发作。他的病史因10岁时发生的一起严重道路交通事故而引人注目，当时需要进行气管插管并长时间通气14天。他的恢复过程因声门下狭窄而复杂化，后来通过喉气管重建手术进行了修复。13岁时，他接受了声门下球囊扩张术以及左侧杓状软骨切除术和杓间瘢痕带分离术。该患者被转介到专门的呼吸困难诊疗机构进行进一步评估。
