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患者,男,84岁,因头晕,胸闷、记忆力减退,夜间憋气致醒,近年逐渐加重于1986年10月来院就诊:查体:R22次/分,心率82次/分,Bp24/13.3kPa,软腭及悬雍垂肥厚增大,咽腔狭窄,心肺正常,心电图正常,清醒时血气分析结果无异常。夜间观察其睡眠特征:频繁地从睡眠中觉醒,先有鼻和口腔气流暂停、腹式呼吸存在,继而呼吸运动停止,时间为30至50秒;呼吸暂停中断后出现巨大的鼾声;几次正常呼吸后再以同样形式发生,1小时达15至18次;呼吸停顿期间出现口唇紫绀。患者平时行动迟缓,一昼夜睡眠达15小时以上。根据患者肥胖、嗜眠及Rechtschaffen提出的标准:鼻和口腔气流暂停超过10秒,7小时睡眠呼吸暂停30次以上,平均每小时呼吸暂停5次以上者,诊断为
Patients, male, 84 years old, due to dizziness, chest tightness, memory loss, suffocating at night awake in recent years gradually increased in October 1986 to the hospital: Physical examination: R22 beats / min, heart rate 82 beats / min, Bp24 / 13.3kPa, Soft palate and uvula hypertrophy, pharyngeal stricture, normal heart and lung, normal ECG, blood gas when awake no abnormal results. Observe the characteristics of sleep at night: frequent awakening from sleep, the first nasal and oral pause, abdominal breathing, and then stop breathing for 30 to 50 seconds; apnea after interruption of a huge snoring; a few times normal Breathe again in the same form, 1 hour up to 15 to 18 times; breathing during the period of cyanosis lips. Patients usually slow action, sleep more than 15 hours a day and night. According to the patient’s obesity, narcolepsy and the criteria proposed by Rechtschaffen: the nasal and oral airflow was suspended for more than 10 seconds, 7 hours of sleep apnea more than 30 times, the average hourly breath apnea more than 5 times, diagnosed as