Guilleminault C, Simmons F B, Motta J, Cummiskey J, Rosekind M, Schroeder J S, Dement W C
Arch Intern Med. 1981 Jul;141(8):985-8.
Obstructive sleep apnea syndrome (OSAS), a disabling disorder that leads to life-threatening cardiorespiratory events during sleep, has been treated by tracheostomy. This article reports long-term follow-up data of 50 patients who have undergone this procedure, and the indications for surgery are summarized. Surgery may result in secondary local and general acute and subacute complications, but, on a long-term basis, patients were completely relieved of clinical symptoms, returned to full activity, and adapted normally to social and familial life. Temporary closure of the tracheostomy during sleep led to recurrence of obstructive sleep apnea.
阻塞性睡眠呼吸暂停综合征(OSAS)是一种致残性疾病,可导致睡眠期间危及生命的心肺事件,一直通过气管切开术进行治疗。本文报告了50例接受该手术患者的长期随访数据,并总结了手术适应症。手术可能会导致继发性局部和全身急性及亚急性并发症,但从长期来看,患者的临床症状完全缓解,恢复了正常活动,并能正常适应社会和家庭生活。睡眠期间临时封闭气管切开处会导致阻塞性睡眠呼吸暂停复发。