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患者,47岁,月经量增多,诊断为子宫肌瘤于1992年4月24日入院。既往健康。体检:体温、脉搏,呼吸、血压、胸、腹检查均正常,体重54/kg。妇检:子宫位置前位,手拳大小,质硬无触痛。B超提示多发性子宫肌瘤。5月3日作子宫切除术,术中顺利。病检:子宫粘膜下平滑肌瘤。术后第3天患者睡眠中反复出现憋醒,进一步观察每次入睡后先出现鼾声,继而呼吸停止(口鼻无气流通过,胸膜可见有力的呼吸运动)10秒以上,随后憋醒,再入睡又出现上述呼吸停止憋醒,每夜达30～40次,整夜难以安眠,白天头昏,乏力嗜睡,耳鼻咽喉科检查无阳性发现。患者反复发作一周以后,呼吸暂停次数逐渐减少,
Patients, 47 years old, increased menstrual flow, diagnosis of uterine fibroids in April 24, 1992 admission. Past health. Physical examination: body temperature, pulse, respiration, blood pressure, chest and abdomen were normal, weight 54 / kg. Fusectomy: uterine position before hand, hand punch size, hard no tenderness. B-Tip Multiple uterine fibroids. May 3 for hysterectomy, surgery smoothly. Disease examination: uterine submucous leiomyoma. On the third postoperative day, the patient experienced repeated episodes of arousal during sleep, further observing the occurrence of snoring after each fall asleep, followed by a stop of breathing (no airflow through the nose and mouth, strong respiratory movement through the pleura) for more than 10 seconds, followed by arousal and then asleep Respiratory arousal again occurred above the stop breathing, up to 30 to 40 times a night, sleepless nights, dizziness during the day, fatigue, lethargy, otolaryngology check no positive findings. One week after the patient recurred, the number of apnea gradually decreased,