Pépin J L, Della Negra E, Grosclaude S, Billon C, Lévy P
Department of Respiratory Medicine, CHRU de Grenoble, France.
Thorax. 1995 Jun;50(6):692-4; discussion 696-7. doi: 10.1136/thx.50.6.692.
A patient who developed severe sleepiness and sleep apnoea in association with adult acquired retrognathia and subluxation of the cervical spine at the level of C3-C4, both resulting from rheumatoid arthritis, is described. The possible causative factors of the association between sleep apnoea and rheumatoid arthritis include reduction of the size of the upper airway by temporomandibular joint destruction, brainstem compression due to rheumatoid arthritis affecting the cervical spine, sleep fragmentation, and drug effects.
本文描述了一名患者，其因类风湿关节炎导致严重嗜睡和睡眠呼吸暂停，同时伴有成人获得性下颌后缩和颈椎C3 - C4水平半脱位。睡眠呼吸暂停与类风湿关节炎之间关联的可能致病因素包括颞下颌关节破坏导致上呼吸道尺寸减小、类风湿关节炎影响颈椎引起脑干受压、睡眠碎片化以及药物作用。
