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作者曾遇到2例睡眠呼吸暂停综合征(SAS)引起的夜间心绞痛发作,临床均误诊,现报道如下,以引起同行注意。 例1,患者,男,45岁。入院前9个月出现夜间睡眠时胸闷、憋醒伴心前区疼痛,每次持续数分钟自行缓解。夜眠差。白天困倦,嗜睡,记忆力下降,精神沮丧。患者打鼾史12年,近三年发现睡眠时呼吸暂停。高血压病病史2年。门诊以“冠心病心绞痛,
The authors have encountered two cases of sleep apnea syndrome (SAS) caused by nocturnal angina attacks, clinically misdiagnosed, are reported below, to attract peer attention. Example 1, patient, male, 45 years old. 9 months before admission, nighttime sleepy chest tightness, arousal with pain in the anterior region, each lasting several minutes to ease themselves. Night sleep poor. Drowsy during the day, drowsiness, memory loss, depression. Snoring history in patients for 12 years, nearly three years of sleep apnea was found. Hypertensive history of 2 years. Outpatient "coronary angina pectoris,