Morishima Y N, Inoue M, Ohtsuka M, Saitoh T, Kamahara K, Funayama Y, Ninomiya H, Satoh H, Uchida Y, Homma T, Hasegawa S
Department of Pulmonary Medicine, University of Tsukuba, Japan.
Nihon Kyobu Shikkan Gakkai Zasshi. 1997 Mar;35(3):365-70.
A 55-year-old obese man was admitted to our hospital because of a severe morning headache. He snored and had recurrent episodes of sleep apnea that began 10 years earlier and had since become much worse. An overnight polysomnographic recording confirmed that he had sleep apnea syndrome, predominantly of the central type. The apneas were more frequent when he lay on his back (apnea index 54.5) than on his side (apnea index 1.2). He was treated with sleep position adjustment and nasal bi-level positive airway pressure, inspiratory positive airway pressure at 5 cmH2O and expiratory positive airway pressure at 2 cmH2O. His snoring, headache, and oxygen desaturation resolved. This case suggests that airway collapse may cause central apnea, and that nasal continuous positive airway pressure, and nasal bi-level positive airway pressure and adjustment of sleep position can be effective in some patients with central-type sleep apnea syndrome.
一名55岁的肥胖男性因严重的晨起头痛入院。他打鼾且反复出现睡眠呼吸暂停，始于10年前，此后愈发严重。一夜的多导睡眠图记录证实他患有睡眠呼吸暂停综合征，主要为中枢型。他仰卧时呼吸暂停更频繁（呼吸暂停指数54.5），侧卧时则较少（呼吸暂停指数1.2）。他接受了睡眠体位调整和经鼻双水平气道正压通气治疗，吸气正压为5 cmH₂O，呼气正压为2 cmH₂O。他的打鼾、头痛和氧饱和度下降问题得到解决。该病例表明气道塌陷可能导致中枢性呼吸暂停，并且经鼻持续气道正压通气、经鼻双水平气道正压通气以及睡眠体位调整对一些中枢型睡眠呼吸暂停综合征患者可能有效。
