睡眠呼吸停止症候羣的麻醉－病例報告

Sleep Apnea Syndrome and Anaesthesia - a Case Report

隋善中(Shan-Chung Swei) ； 司徒耀明(Yiu-Meng Tou) ； 黃炳華(Ping-Wah Wong)

《慈濟醫學雜誌》 3卷2期 (1991/06) Pp. 114-117

https://doi.org/10.6440/TZUCMJ.199106.0114

摘要

睡眠呼吸停止症候群是很普遍的毛病，它的症狀有打鼾、白天嗜睡、睡眠中長時間閉氣，紅血球過多症，甚至引發高血壓等。一般分成三方面，一)阻塞性睡眠呼吸停止症一上呼吸道結構有改變，且為已之病因中最常見者。二)中樞性呼吸停止症。三)混合性。大部份的的病人仍然找不出原因。此類病人一旦接受麻醉時，要提高警覺，因為少量的麻醉劑也足以造成嚴重的上呼吸道阻塞。因此在麻醉工作中，維持呼吸道的暢通是一項重要的課題。

關鍵字

睡眠呼吸停止症候群 ； 打鼾 ； 上呼吸道 ； 快速誘導 ； 人工鼻腔呼吸道 ； 氣管內管

並列摘要

Sleep apnea syndrome is a very commom disease. This includes snoring, stuggling breath in sleep, pol-ycythemia, and hypertension. Most of them have had pathologic change of anatomy in upper airway called obstrctive sleep apnea syndrome, and other lokes central or mixed type is rare. However their causes are still unlnown. Apatient with obstructive sleep apnea syndrome need to receive operation at once, and anaesthesia become a highly difficult task, because of its sensitivity to anaesthetic agents. Even if small dosage of anase-thetics can rtsult in severe obstruction of upper airway. Therefore, to maintain a patent ariway in any stage of anaesia is very important.

並列關鍵字

Sleep apnea syndrome ； snoring upper aurway ； endotracheal tube