Ishizuka Y, Kakuta H
Department of Otorhinolaryngology, Teikyo University School of Medicine, Mizonokuchi Hospital, Teikyo, Japan.
Acta Otolaryngol Suppl. 1996;523:234-5.
Sleep apnea syndrome in children is usually caused by adenoidal and tonsillar hypertrophy. Here, we report on a typical case of obstructive sleep apnea syndrome, and also discuss recent indications for tonsillectomy in children. A 6-year-old boy came to our hospital suffering from serious obesity and somnolescence. He could not sleep lying down and thus started to sleep in a sitting position. Even during daytime he slept while standing, and exhibited hypersomnolescence. He was 133 cm tall and weighed 80 kg, and tonsillar hypertrophy was recognised. Consequently, tonsillectomy and a weight reducing program were undertaken. The lowest SaO(2) improved from 50% to 70%, and sleep apnea also decreased from 141 to 71 episodes. Moreover, the hypersomnolescence improved.
儿童睡眠呼吸暂停综合征通常由腺样体和扁桃体肥大引起。在此，我们报告一例阻塞性睡眠呼吸暂停综合征的典型病例，并讨论儿童扁桃体切除术的近期指征。一名6岁男孩因严重肥胖和嗜睡前来我院就诊。他不能躺下睡觉，因此开始坐着睡觉。甚至在白天，他站着的时候也会睡觉，并表现出过度嗜睡。他身高133厘米，体重80公斤，被诊断为扁桃体肥大。因此，进行了扁桃体切除术和减肥计划。最低血氧饱和度（SaO₂）从50%提高到70%，睡眠呼吸暂停次数也从141次减少到71次。此外，过度嗜睡的症状也有所改善。
