阻塞性睡眠呼吸暂停低通气综合征误诊误治  

Misdiagnosis of obstructive sleep apnea hypopnea syndrome

作　　者：韩德民[1] 林忠辉[1] 林宇华[1] 张玉焕[1] 

机构地区：[1]首都医科大学附属北京同仁医院耳鼻咽喉头颈外科北京市耳鼻咽喉研究所,北京100730

出　　处：《中华耳鼻咽喉科杂志》2002年第6期418-421,共4页Chinese Journal of Otorhinolaryngology

摘　　要：目的　分析阻塞性睡眠呼吸暂停低通气综合征 (obstructivesleepapneahypopneasyndrome,OSAHS)误诊误治原因 ,增强对OSAHS的认识。方法　报道 6例误诊、误治病例 ,并对误诊、误治的具体原因进行分析。结果　OSAHS易被误诊为原发性高血压、神经官能症、儿童弱智、缺钙、心律失常、哮喘等。OSAHS误诊、误治原因主要有 :①OSAHS患者症状和并发症较多 ,主诉可能为OSAHS或其并发症的任何症状之一 ;②缺乏对OSAHS的认识。结论　分析OSAHS误诊、误治原因 ,增强对OSAHS的认识 。Objective To enhance the understanding of obstructive sleep apnea hypopnea syndrome (OSAHS) and lower its misdiagnosis. Methods 6 misdiagnosed cases were analyzed systemically. Results OSAHS can be misdiagnosed as primary hypertension, arrhythmia, asthma,acalcerosis and some other diseases.The main causes of misdiagnosis were: the main complaints and the main signs could be one or more of a series of symptoms or signs of OSAHS itself or its complications and the lack of systemic knowledge of OSAHS. Conclusions The understanding of OSAHS could be enhanced by analyzing misdiagnosis cases.

关 键 词：阻塞性睡眠呼吸暂停低通气综合征 睡眠呼吸暂停综合征 误诊 诊断 治疗 误治 

分 类 号：R766[医药卫生—耳鼻咽喉科]