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題名 | Polysomnography as Monitoring Management of Obstructive Sleep Apnea in Madelung's Disease=以多項睡眠生理檢查檢視Madelung's Disease造成阻塞型睡眠呼吸中止症候群之處理--病例報告 |
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作者 | 張堯欽; 杭良文; 夏德椿; 王子源; 許南榮; 蔡熒煌; Chang, Yao-chin; Hang, Liang-wen; Hsia, Te-chun; Wang, Tzu-yuan; Hsu, Nan-yung; Tsai, Ying-huang; |
期刊 | 胸腔醫學 |
出版日期 | 20010900 |
卷期 | 16:3 2001.09[民90.09] |
頁次 | 頁207-211 |
分類號 | 415.472 |
語文 | eng |
關鍵詞 | 良性多發性對稱性脂肪增生; 多項睡眠生理檢查; 阻塞型睡眠呼吸中止症候群; Madelung's disease; Benign symmetrically lipomatosis; Polysomnography; Obstructive sleep apnea syndrome; |
中文摘要 | Madelung症侯群以頸部、肩部及上側軀幹的良性多發性對稱性脂肪增生為特點,它可表現出慢性上呼吸道阻塞症狀,並引起阻塞型睡眠呼吸中止症候群。氣管造口術可以繞過上呼吸道,並解決大部分之阻塞性呼吸睡眠中止症候群。多項睡眠生理檢查,可作為診斷呼吸睡眠中止症候群之輔助工具,並可監測其嚴重度。 本文介紹一位有阻塞型睡眠呼吸中止症候群之Madelung症候群病患,以多項睡眠生理檢查確診並確認其嚴重度後,施行了氣管造口術,術後並再次作多項睡眠生理檢查,作為監測。結果,術後呼吸干擾指數,雖有改善,但無法完全解決此問題,推究其原因,認為氣管造口術雖可繞過上呼吸道,但無法院全解決彌漫性支氣管病灶。在Madelung症候群,多項睡眠生理檢查不僅可協助診斷阻塞型睡眠呼吸中止症候群且可以偵測氣管造口術後殘留之功能障礙。 |
英文摘要 | Medelung's disease is characterized by benign symmetrical lipomatosis around the neck, shoulders, and upper trunk. It can present as chronic upper airway obstruction, and result in obstructive sleep apnea syndrome (OSAS). Polysomnography has been the standard procedure to diagnosis and monitor the severity of obstructive sleep apnea syndrome. Tracheostomy is the latest effective procedure to resolve the disease. We herein present a case of Madelung's disease. The thoracic CT revealed that adipose tissue extended to the mediastinal space around the carina. The patient was treated with a tracheostomy. Polysomnography was performed before and after the tracheostomy. The RDI (Respiratory Disturbance Index) did not improve as expected. With this, we were able to detect the lower tracheal dysfunction even after the tracheostomy. Polysomnography not only helps in the diagnosis of OSAS in Madelung's disease, but also detects residual dysfunction even after surgical management. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。