Piper J G, Dirks B A, Traynelis V C, VanGilder J C
University of Iowa Hospitals and Clinics, Division of Neurosurgery, Iowa City.
Neurosurgery. 1995 Jan;36(1):70-4; discussion 74-5. doi: 10.1227/00006123-199501000-00009.
Sleep apnea is a rare complicating factor of acromegaly associated with a high risk of perioperative airway compromise and unclear response to transsphenoidal resection of the underlying pituitary tumor. We reviewed four acromegalic patients with sleep apnea and documented postoperative objective and subjective improvement of their sleep disorders. The pathogenesis of this disorder and safe perioperative airway management are discussed.
睡眠呼吸暂停是肢端肥大症的一种罕见并发症，与围手术期气道受损的高风险相关，且对潜在垂体肿瘤的经蝶窦切除术反应不明。我们回顾了4例患有睡眠呼吸暂停的肢端肥大症患者，并记录了术后其睡眠障碍在客观和主观上的改善情况。本文讨论了这种疾病的发病机制以及围手术期气道的安全管理。
