Ruboyianes J M, Cruz R M
Department of Head and Neck Surgery, Kaiser Permanente Medical Center, Oakland, California 94611-5693, USA.
Ear Nose Throat J. 1996 Jul;75(7):430-3.
Forty-four children who underwent adenotonsillectomy for obstructive sleep apnea (OSA) were studied. The diagnosis was confirmed polysomnographically. Patients with other medical problems or complications of OSA were excluded. The overall complication rate was 32%. Significant airway complications occurred in 16%. Factors associated with development of statistically significant airway complications were acute airway compromise, age < 3 years, thin body habitus, and both oxygen (O2) desaturation and carbon dioxide (CO2) retention seen polysomnographically. Although many OSA patients can safely have outpatient adenotonsillectomy, perioperative monitoring of patients with these risk factors is needed.
对44名因阻塞性睡眠呼吸暂停（OSA）接受腺样体扁桃体切除术的儿童进行了研究。诊断通过多导睡眠图得到证实。排除患有其他医疗问题或OSA并发症的患者。总体并发症发生率为32%。16%的患者出现了严重的气道并发症。与具有统计学意义的气道并发症发生相关的因素包括急性气道梗阻、年龄<3岁、体型消瘦以及多导睡眠图显示的氧（O2）饱和度降低和二氧化碳（CO2）潴留。尽管许多OSA患者可以安全地进行门诊腺样体扁桃体切除术，但仍需要对具有这些危险因素的患者进行围手术期监测。
