Chaudhary B A, Ferguson D S, Speir W A
Chest. 1982 Jul;82(1):122-4. doi: 10.1378/chest.82.1.122.
Patients with sleep apnea syndrome may present with many types of cardiopulmonary abnormalities. Acute pulmonary edema, however, either as a part, or as the presenting feature, of the sleep apnea syndrome has not been reported to our knowledge. A 20-year-old obese woman with no history of cardiopulmonary disease presented twice to the emergency room because of sudden onset of shortness of breath. Each time her chest roentgenogram showed bilateral pulmonary edema. On nocturnal polysomnographic recording, the patient had obstructive apneic episodes; the longest apneic episode lasted 132 seconds. Complete resolution to her symptoms occurred following tracheostomy.
睡眠呼吸暂停综合征患者可能会出现多种心肺异常情况。然而,据我们所知,急性肺水肿作为睡眠呼吸暂停综合征的一部分或首发特征尚未见报道。一名20岁无心肺疾病史的肥胖女性因突发呼吸急促两次前往急诊室。每次胸部X线检查均显示双侧肺水肿。夜间多导睡眠图记录显示,该患者存在阻塞性呼吸暂停发作;最长的呼吸暂停发作持续132秒。气管切开术后患者症状完全缓解。