Junod A F
Schweiz Med Wochenschr. 1984 Jul 21;114(29):1034-7.
Continuous recording of numerous physiological variables during the night has led to the discovery of various respiratory disorders occurring during sleep. The most important are: 1. central apneas, defined by excessive frequency of respiratory arrests of excessive duration, 2. obstructive apneas, characterized by marked obstruction at the level of the oropharynx with persistence of respiratory movements, 3. episodes of marked nocturnal hypoxemia, without apnea, in certain patients with chronic obstructive lung disease. The pathophysiology, clinical picture and possible therapeutic resources are analyzed for each of the respiratory disorders occurring during sleep.
夜间对众多生理变量进行连续记录,促成了睡眠期间发生的各种呼吸障碍的发现。其中最重要的有:1. 中枢性呼吸暂停,其定义为呼吸停止频率过高且持续时间过长;2. 阻塞性呼吸暂停,其特征为口咽水平存在明显阻塞且呼吸运动持续存在;3. 某些慢性阻塞性肺疾病患者出现的无呼吸的明显夜间低氧血症发作。本文对睡眠期间发生的每种呼吸障碍的病理生理学、临床表现及可能的治疗方法进行了分析。