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目的:高海拔地区氧分压低于低海拔地区。相应而言,高海拔地区中重度阻塞性睡眠呼吸暂停低通气综合征(Obstructive sleep apnea-hy-popnea syndrome,OSAHS)手术风险性高于低海拔地区。本文通过39例中重度OSAHS临床表现进行围术期处理方案进行探讨。方法:收集2005年1月—2008年12月39例中重度OSAHS通过多导睡眠呼吸监测(polysomnographyPSG)、体重、高红血症临床表现进行术前及术后比较。结果:39例中重度OSAHS经过术前术后对比PSG、体重、高红血症及临床表现变化明显。结论:中重度OSAHS应对手术方案不同,预防性气管切开对中重度OSAHS能降低手术风险。术后支持治疗及对症,心理干预至关重要。
Objective: The oxygen partial pressure in high altitude area is lower than in low altitude area. Correspondingly, the surgical risk of obstructive sleep apnea-hy-popnea syndrome (OSAHS) in high altitude is higher than that in low altitude. In this paper, 39 cases of moderate and severe OSAHS clinical manifestations of perioperative treatment options are discussed. Methods: From January 2005 to December 2008, 39 cases of moderate and severe OSAHS were collected and compared by polysomnography (PSG), body weight and hyperplasia before and after surgery. Results: 39 cases of moderate and severe OSAHS after surgery before and after contrast PSG, weight, hyperlipidemia and clinical manifestations changed significantly. CONCLUSIONS: Different surgical plans for moderate-severe OSAHS may lead to lower operative risk of prophylactic tracheotomy for moderate-severe OSAHS. Postoperative supportive treatment and symptomatic, psychological intervention is essential.