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1 临床资料患者男,40岁,因睡眠打鼾憋气10年就诊,以阻塞性睡眠呼吸暂停综合征入院。诉睡眠打鼾憋气随体重增长渐加重。每夜憋醒3～4次,晨起疲倦无力,头昏嗜睡,记忆力减退,有慢性鼻炎史。入院查血压17/12kPa,身高164cm,体重93kg,扁桃体已摘除,前咽弓粘连,软腭悬雍垂肥厚,两侧咽鼓管圆枕肥大,鼻咽腔狭小,舌体及舌根扁桃体肥大,鼻咽部增殖体稍大。观察患者睡眠呼吸情况,半小时呼吸暂停43次。心电监护心率80次/分,憋气时加快10次左右。手术方法:将软腭及后咽弓切去0.8cm,悬雍垂切去1cm,前咽弓切去0.3cm,
1 Clinical data Patient male, 40 years old, suffocated for 10 years due to sleep snoring, admission to obstructive sleep apnea syndrome. Prone to sleep snoring suffocation with weight gain gradually heavier. Arousal every night 3 to 4 times, morning tired and weak, drowsiness, lethargy, memory loss, history of chronic rhinitis. Admission check blood pressure 17 / 12kPa, height 164cm, weight 93kg, tonsils have been removed, anterior pharyngeal arch adhesions, soft palate uvula hypertrophy, bilateral eustachian tube roundabout hypertrophy, narrow nasopharynx, tongue and tongue tonsils hypertrophy, nasal Pharyngeal proliferation body slightly larger. Observe the patient’s sleep and breathing conditions, half an hour of apnea 43 times. ECG heart rate 80 beats / min, hold your breath about 10 times faster. Surgical methods: the soft palate and posterior pharyngeal arch cut to 0.8cm, uvula cut to 1cm, anterior pharyngeal arch cut to 0.3cm,