阻塞性睡眠呼吸暂停中的咽部气道阻塞：病理生理学及临床意义
Pharyngeal airway obstruction in obstructive sleep apnea: pathophysiology and clinical implications.
作者信息
Schwartz A R, Eisele D W, Smith P L
机构信息
Johns Hopkins Sleep Disorders Center, Division of Pulmonary and Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland 21224, USA.
出版信息
Otolaryngol Clin North Am. 1998 Dec;31(6):911-8. doi: 10.1016/s0030-6665(05)70098-0.
In obstructive sleep apnea, airflow obstruction is caused by pharyngeal collapse. Current evidence suggests that anatomic alterations predispose to pharyngeal collapse. This article examines the role of structures that elongate and dilate the pharynx in maintaining pharyngeal patency. Their influence on pharyngeal collapsibility is considered. Insights gained are then presented within a conceptual framework that can be used for treating patients.
在阻塞性睡眠呼吸暂停中，气流阻塞是由咽部塌陷引起的。目前的证据表明，解剖结构改变易导致咽部塌陷。本文探讨了拉长和扩张咽部的结构在维持咽部通畅方面的作用。并考虑了它们对咽部可塌陷性的影响。然后在一个可用于治疗患者的概念框架内呈现所获得的见解。
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