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马凡综合征中下颌后缩继发的肺功能障碍。

Pulmonary dysfunction secondary to mandibular retrognathia in Marfan's syndrome.

作者信息

Faircloth D N, Tenholder M F, Whitlock W L, Downs R H

机构信息

Medical College of Georgia, Augusta.

出版信息

Chest. 1994 May;105(5):1610-3. doi: 10.1378/chest.105.5.1610.

DOI:10.1378/chest.105.5.1610
PMID:8181376
Abstract

Referrals to pulmonary physicians for polysomnography to evaluate snoring or the possibility of sleep apnea syndrome often evolve into a multidisciplinary clinical problem. We present a young woman with two congenital abnormalities (Marfan's syndrome and retrognathism) which both may affect her decreased exercise tolerance, daytime hypersomnolence, and fatigue. Polysomnography and pulmonary exercise testing documented improvement in her upper airway diameter and exercise capacity. Her improved sleep pattern and her understanding of her exercise performance limitations afforded her a new outlook on life.

摘要

因打鼾或睡眠呼吸暂停综合征可能性而被转诊至肺科医生处进行多导睡眠图检查的情况,往往会演变成一个多学科临床问题。我们介绍一位患有两种先天性异常(马凡综合征和下颌后缩)的年轻女性,这两种异常都可能导致她运动耐量下降、日间过度嗜睡和疲劳。多导睡眠图检查和肺功能运动测试证明她的上气道直径和运动能力有所改善。她改善的睡眠模式以及对自身运动表现局限性的理解,让她对生活有了新的看法。

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