Goto S, Satoh M, Fuse K, Sato K, Yokota M, Muramatsu Y, Takahashi R, Suzuki E, Arakawa M
Department of Medicine (II), Niigata University School of Medicine, Japan.
Nihon Kyobu Shikkan Gakkai Zasshi. 1996 Sep;34(9):1003-8.
A 43-year-old woman was admitted to the hospital with hypoventilation, which developed when she took sedatives because of an operation on an adrenal gland tumor. Central alveolar hypoventilation syndrome was diagnosed after neurophysiological and pulmonary-function tests. Magnetic resonance imaging and vertebral angiography revealed that tortuous and elongated vertebral arteries compressed the ventral sides of the medulla oblongata, which may have caused the hypoventilation. Mechanical ventilation during sleep improved her condition. Home mechanical ventilation was prescribed and she has been well during follow up as an outpatient.
一名43岁女性因肾上腺肿瘤手术服用镇静剂后出现通气不足而入院。经神经生理学和肺功能检查后诊断为中枢性肺泡通气不足综合征。磁共振成像和椎动脉血管造影显示，迂曲延长的椎动脉压迫延髓腹侧，这可能是导致通气不足的原因。睡眠期间的机械通气改善了她的病情。医生开具了家庭机械通气的医嘱，她作为门诊患者随访期间情况良好。
