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題 名 | Acute Chronic Respiratory Failure Complicated by Undetected Obstructive Sleep Apnea Syndrome=未診斷的阻塞性睡眠呼吸中止症候群併發慢性呼吸衰竭急性發作 |
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作 者 | 林昌生; 莊銘隆; 何松融; 陳濘宏; 吳燿光; 曹昌堯; | 書刊名 | 胸腔醫學 |
卷 期 | 16:1 2001.03[民90.03] |
頁 次 | 頁43-49 |
分類號 | 415.472 |
關鍵詞 | 連續性陽壓呼吸; 重疊性症候群; 肥胖; 慢性阻塞性肺病; 睡止症; Continuous positive airway pressure; Overlap syndrome; Obesity; COPD; OSAS; |
語 文 | 英文(English) |
中文摘要 | 阻塞性睡眠呼吸中止症候群(睡止症)併發呼吸衰竭時,睡止症經常被忽略,尤其在氣管插管後,習慣性的鼾聲即消失,更加使診斷睡止症的因難。在慢性阻塞性肺病的病人併發呼吸衰竭時,倘若病人合併睡止症(即重疊性症候群),睡止症也經常被忽略。這兩種經常被忽略的狀況,會錯失治療先機而導致高的致死率和罹病率。反之,則可避免呼吸衰竭災難的發生。我們報告兩例常見但易為忽略的併發性呼吸衰竭病例:其一為尿毒症病人合併肥胖、睡止症;其二為肥胖、重疊性症候群病人。由於臨床上的忽略或冗長的等待經鼻連續性陽壓呼吸機治療壓力的擬定,導致呼吸衰竭的發生甚或反複發生,進出加護病房,危害病人癒後,浪費醫療資源。此二例在正確診斷後,極容易且成功地以減肥和經鼻連續性陽壓呼吸機來治療。 |
英文摘要 | Obstructive sleep apnea syndrome (OSAS) as a cause of respiratory failure is requently ignored if the intubation is instituted before the patient's history of habitual snoring is made know. In overlap syndrome (COPD plus OSAS) patients complicated with respiratory failure, OSAS is rater often overlooked, since other causes of acute exacerbation of COPD resulting in respiratory failure are more common. Both easily ingored conditions (OSAS and overlap syndrome) incur high mortlity and moridity if the underlying OSAS in not identified in time. however, these unwanted complications can be avoided if the OSAS is idetified as early as possible and treated appropriately. We report herein two cases of respiratory failure: one, uremia with obesity and OSAS, and the other, obestity plus overlap syndrome. Because the OSAS was not diagnosed, or the diagnosis was delay, thus, delayed the use of nasal continuous positive airway pressure (nCPAP), both patinets suffered form respiratory failure, one repeatedly. Frequent respiratory failure is life-threatening, and incurs great expense. Both patients can be successfully treated with aggressive body weight reduction and/or long-term nCPAP device usage, after the obesity and OSAS have been identified as causative factors. |
本系統中英文摘要資訊取自各篇刊載內容。