One case of pediatric obstructive sleep apnea hypopnea syndrome with pulmonary hypertension.
- Author:
Shan HE
;
Jie CHEN
- Publication Type:Case Reports
- MeSH:
Adenoids;
pathology;
Child;
Cough;
Humans;
Hypertension, Pulmonary;
complications;
diagnosis;
Palatine Tonsil;
pathology;
Polysomnography;
Sleep Apnea, Obstructive;
complications;
diagnosis;
Snoring
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2015;29(7):664-665
- CountryChina
- Language:Chinese
-
Abstract:
The clinical manifestation included snoring and mouth breathing for 2 years, repeated coughing and shortness of breath in action for more than 1 year. Physical examination of oral cavity showed tonsils were in grade III. The endoscopy showed 2/3 of postnaris were blocked by the adenoids. The preoperative ultrasonic cardiogram revealed the right atrial and right ventricular dilatation, pulmonary artery widened. The preoperative polysomnography (PSG) showed apnea-hypopnea index (AHI) was 28.5 events an hour, and the lowest oxygen saturation (LSaO2) was 39%. The patient was diagnosed as severe obstructive sleep apnea hypopnea syndrome with pulmonary hypertension. The postoperative PSG showed the AHI was 11.7 events an hour, and the LSaO2 was 86%. The ultrasonic cardiogram at 5 months after surgery didn't show any abnormalities.
