Is Obstructive Sleep Apnea Syndrome the Only Diagnosis in Patients with Excessive Daytime Sleepiness and Snoring?

習慣性打鼾，白天嗜睡，以及重覆的睡眠時呼吸暫停是阻塞型睡眠呼吸中止症候群病人的特徵。然而，還有其他一些疾病也會同時表現這些症狀，像是猝睡症。我們整理了過去的三個病例，他們都是白天嗜睡的患者而且合併有其他的睡眠問題。根據臨床症狀以及多重睡眠生理監測儀的檢查結果，他們一開始都被診斷為阻塞型睡眠呼吸中止症候群。但是，最後的診斷分別是猝睡症，阻塞型睡眠呼吸中止症候群以及二者的合併症。因為最初診斷的錯誤，這些病人接受了不適當的治療並且造成了相關的併發症。在這篇文章中，我們回顧了阻塞型睡眠呼吸中止症候群和猝睡症兩者在臨床表現和診斷方式上的異同，並且針對兩個疾病之間可能造成的混淆加以討論。

關鍵字

嗜睡；多重睡眠生理監測儀；阻塞型睡眠呼吸中止症候群；猝睡症

並列摘要

Habitual snoring, excessive daytime sleepiness (EDS), and the repeated cessation of breathing during sleep are the characteristic findings in cases of obstructive sleep apnea syndrome (OSAS). However, some other diseases, such as narcolepsy, will present with these symptoms concomitantly. Three cases were reviewed in this article. They all suffered from excessive daytime sleepiness along with some other symptoms. OSAS was diagnosed initially based on the clinical complaints and polysomnographic results. Narcolepsy with simple snoring, OSAS, and OSAS combined with narcolepsy (overlapping syndrome) were diagnosed ultimately in these three cases. Because of the incorrect diagnosis, they were all treated inappropriately, and suffered from the complications of treatment. Clinical features, diagnostic methods, and the possible pitfalls of OSAS and narcolepsy are reviewed and discussed in this article.

並列關鍵字

Excessive daytime sleepiness ； polysomnography ； obstructive sleep apnea syndrome ； narcolepsy

國際替代計量

Is Obstructive Sleep Apnea Syndrome the Only Diagnosis in Patients with Excessive Daytime Sleepiness and Snoring?

未授權

主題瀏覽