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一、引言Burwell等(1956)首先报导了心肺性肥胖综合征(Pickwickian syndrome)的临床表现为肥胖、嗜睡、红细胞增多、间断通气和右心室衰竭。至Gastaut等(1965年)始将清醒时的这些症状与睡眠通气障碍相联系。在以往十年中逐渐认识到睡眠异常可产生相当广泛的症状,甚至使患者丧失劳动力。本文讨论睡眠呼吸暂停综合征(以下简称SAS)的定义、诊断、鉴别诊断以及治疗方法。
I. INTRODUCTION Burwell et al. (1956) first reported the clinical manifestations of Pickwickian syndrome as obesity, lethargy, polycythemia, intermittent ventilation, and right ventricular failure. Until Gastaut et al. (1965) began sober when these symptoms associated with sleep-disordered breathing. Over the past decade, it has gradually come to realize that abnormalities in sleep can have quite a wide range of symptoms and can even lead to a loss of workforce. This article discusses the definition of sleep apnea syndrome (hereinafter referred to as SAS), diagnosis, differential diagnosis and treatment.