阻塞性睡眠呼吸暂停低通气综合征在内、儿科疾病的误诊分析
【摘要】 目的 探讨阻塞性睡眠呼吸暂停低通气综合征(OSAHS)疾患误诊原因。方法 回顾性分析52例以内、儿科疾患住院的误诊患者,对误诊原因进行分析。 结果 52例OSAHS患者中,误诊为原发性高血压22例、冠心病12例、神经官能症11例、哮喘3例、儿童弱智、缺钙各2例。误诊原因:①缺乏对OSAHS的认识; ②OSAHS患者症状和并发症较多,主诉可能为OSAHS或其并发症的任何症状之一。 结论 增强对OSAHS疾病的认识,及时诊断和治疗。
【关键词】阻塞性睡眠呼吸暂停低通气综合征;误诊;高血压;冠心病;哮喘
Analysis of misdiagnosis with obstructive sleep apnea hypopnea syndrome in pueumatology and pediatrics
LIU Jun-xiang,ZHU Yan,WANG Qian,et al.Departments of Pueumatology and Pediatrics.The Changzheng Pepole’s Hospital of Shangqiu,Shangqiu Province 476000,China
【Abstract】 Objective To explore the causes of misdiagnosis about obstructive sleep apnea hypopnea syndrome (OSAHS).Methods 52 misdiagnosed cases in pueumatology and pediatrics were analyzed systematically.Results In the 52 patients,OSAHS was misdiagnosed as primary hypertension 22 cases,coronary heart disease 12cases,cardiovascular neurosis 11 cases,bronchial asthma 3 cases,mentally retarded children 2 cases,be short of calciumchildren 2 cases.The main causes of misdiagnosis were:the main complaints and the main signs could be one or more of aeries of symptoms or signs of OSAHS itself or its complications and the lack of systemic knowledge of OSAHS.Conclusion To enhance the understanding,diagnostics,treatment about OSAHS. ......
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