儿童重症OSAHS伴漏斗胸1例

• 作 者: 马薇 王金凤 谢宇平 惠培林 赵丽君 魏晓泉
• 机 构: 甘肃省人民医院睡眠医学中心,
• 出 处: 临床耳鼻咽喉头颈外科杂志
• 发表日期: 2016年05期
• 关键词: 漏斗胸 睡眠呼吸监测 低通气综合征 胸廓 后鼻塞 胸廓畸形 腺样体肥大 上气道狭窄 鼻塞 儿童重症

1病例报告患儿,男,5岁,汉族,因“睡眠打鼾4年余,加重伴憋气2d”于2014年9月9日来我院就诊。患儿于入院前4年无明显诱因出现鼻塞、睡眠时张口呼吸、打鼾、憋气,感冒时鼻塞、打鼾症状尤为明显,有时伴有耳痛。入院前1周,患儿因受凉感冒后鼻塞加重,夜间睡眠打鼾伴明显憋气,近2d来上述症状明显加重,父母发现患儿胸廓畸形,睡眠中吸气时胸廓有剧烈塌陷,遂来我院就诊,门诊以“OSAHS”

1 case report Children, male, 5 years old, Han nationality, due to “sleep snore more than 4 years, increased with suffocation 2d ” in September 9, 2014 to our hospital. No obvious predisposing factors occurred in children with nasal congestion 4 years before admission, mouth breathing during sleep, snoring, suffocation, nasal congestion when the cold, snoring symptoms are particularly evident, sometimes accompanied by earache. One week before admission, children with nasal obstruction due to cold and aggravating cold night snoring accompanied by significant suffocation, the past 2d to the above symptoms were significantly increased, the parents found that children with thoracic deformity, sleep during inhalation chest collapse violently, then came to our hospital Visit, clinic to “OSAHS ”