脑外伤后长期打鼾致呼吸心跳骤停1例报告及文献复习  

The clinical analysis and related literature review of breath and cardiac arrest induced by long-term snore after brain trauma

作　　者：郭俭[1] 汤深[1] 丰育功[1] 郭少华[1] 吴泳[1] 刘士俊[1] 

机构地区：[1]解放军第四一医院,山东青岛266071

出　　处：《海军医学杂志》2007年第2期109-111,共3页Journal of Navy Medicine

摘　　要：目的:探讨颅脑损伤后长期打鼾致呼吸心跳骤停的发病机理。方法:结合文献回顾性分析1例脑外伤后长期打鼾致心跳呼吸骤停患者的发病过程及诊治经过。结果:椎基底动脉溶栓术治疗缺血性脑干卒中取得了较好的疗效,且患者睡眠呼吸暂停的状况也得到了改善。结论:脑外伤所致的颅眶交接区及筛窦内脓肿是导致患者长期打鼾、睡眠呼吸暂停的主要原因,而长期睡眠呼吸暂停综合征所致的缺血性脑干卒中是呼吸心跳骤停的首要因素。Objective： To investigate the mechanism of breath and cardiac arrest induced by long- term snore after brain trauma. Methods： The morbidity course and treatment process of one case were studied retrospectively, and related articles were reviewed. Results： The treatment with thawing embolization via vertebra basilar artery had a good effect on ischemic brainstem apoplexy and pathogenetic condition of breath and cardiac arrest had been improved. Conclusions： The abscess in the camio - orbital cross connecting area and the antrum ethmoid induced by brain trauma is a main reason resulted in long- term snore. And ischemia brainstem apoplexy induced by snore is the most important reason that caused breath and cardiac arrest.

关 键 词：颅脑损伤 打鼾 睡眠呼吸暂停综合征 呼吸心跳骤停 脑卒中 

分 类 号：R651.11[医药卫生—外科学] R541.78[医药卫生—临床医学]