Simmons F B, Guilleminault C, Dement W C, Tilkian A G, Hill M
Laryngoscope. 1977 Mar;87(3):326-38. doi: 10.1288/00005537-197703000-00005.
Anatomical or physiological airway obstructions during sleep, of which the patient is unaware, cause daytime sleepiness at first, then signs of decreasing mental function, and eventually in some individuals, pulmonary and systemic hypertension. A few of these patients had been recognized before, the Pickwickian syndrome and in children with cardiac problems and large tonsils. The majority, however, present as sleep disorders. This paper describes our surgical experience with improving the airways of 19 children and adults with daytime somnolence.
睡眠期间患者未察觉的解剖学或生理性气道阻塞，起初会导致日间嗜睡，接着出现精神功能减退的迹象，最终在一些个体中引发肺部和全身性高血压。其中一些患者之前已被确诊，如匹克威克综合征以及患有心脏问题和扁桃体肿大的儿童。然而，大多数患者表现为睡眠障碍。本文描述了我们对19例患有日间嗜睡的儿童和成人进行气道改善手术的经验。
