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目的探讨甲状腺功能低下误诊为阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的原因。方法报告3例患者的临床资料,3例患者均内科甲状腺素治疗,其中1例治疗后完全缓解,1例治疗后辅以UPPP治疗,1例鼻内镜手术后辅以CPAP治疗。结果 3例甲状腺素治疗后均有好转。结论对OSAHS患者常规做甲状腺功能检查,采用甲状腺素治疗后均能缓解,如症状不能得到完全改善,常需配合CPAP及相应手术治疗方能取得满意效果。
Objective To investigate the causes of hypothyroidism misdiagnosed as obstructive sleep apnea-hypopnea syndrome (OSAHS). Methods The clinical data of 3 patients were reported. All 3 patients were treated with thyroxine. One patient was completely relieved after treatment, one was treated with UPPP, and the other was CPAP after endoscopic sinus surgery. Results 3 cases of thyroxine improved after treatment. Conclusions The common thyroid function tests in patients with OSAHS can be relieved after treatment with thyroxine. If symptoms can not be completely improved, CPAP and corresponding surgical treatment are often required to achieve satisfactory results.