Kravath R E, Pollak C P, Borowiecki B
Pediatrics. 1977 Jun;59(6):865-71.
Three children with sleep apnea, alveolar hypoventilation, apparent mental retardation, and poor growth associated with chronically enlarged tonsils and adenoids were treated with the use of a nasopharyngeal tube followed by tonsillectomy and adenoidectomy. The effectiveness of this therapy was documented by polygraphic recording of sleep stages and respirations, and by correlation with serial arterial blood gases and pH. The nasopharyngeal tube was well tolerated, easy to use, and effective in diagnosis and treatment. We suggest that its use be further evaluated in patients with obstructive apnea.
三名患有睡眠呼吸暂停、肺泡通气不足、明显智力发育迟缓且生长发育不良，并伴有慢性扁桃体和腺样体肿大的儿童，先使用鼻咽管治疗，随后进行扁桃体切除术和腺样体切除术。通过多导睡眠图记录睡眠阶段和呼吸情况，以及与系列动脉血气和pH值的相关性，记录了该治疗方法的有效性。鼻咽管耐受性良好、使用方便，在诊断和治疗方面均有效。我们建议在阻塞性呼吸暂停患者中进一步评估其应用。
