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大多数阻塞性睡眠呼吸暂停(OSA)病人均可采取保守疗法获得成功,手术治疗仅限于去除器质性阻塞性病变,但在病情严重或其他疗法无效时,有时仍需作正规气管造口术。鉴于气管造口术有其缺点和危险性,作者曾采用小型气管切开术,套管经环甲膜插入成功地救治了1例严重OSA病人。病人为44岁亚裔男性,因头痛和视神经乳头水肿入院。有日间瞌睡、睡眠时打鼾、呼吸暂停,憋醒和红细胞增多病史。躯体肥胖,有末梢性水肿、中心性发绀、扁桃体肥大和开口反射减弱等体征。生化
Most obstructive sleep apnea (OSA) patients can be conservative treatment success, surgical treatment is limited to the removal of organic obstructive disease, but in serious condition or other therapy ineffective, and sometimes still need to be used for regular tracheostomy . In view of tracheostomy has its shortcomings and dangers, the author has used a small tracheotomy, cannula tube inserted through the cataract successfully treated one patient with severe OSA. The patient is a 44-year-old Asian male hospitalized for headache and optic nerve head edema. Sleepy during the day, sleep snoring, apnea, arousal and polycythemia history. Somatic obesity, peripheral edema, central cyanosis, tonsil hypertrophy and weakening of the reflexes and other signs. Biochemical