肥胖低通气综合征麻醉解读.pptVIP

Conclusion The prevalence of OHS 0.15–0.3% in the general population 8% in patients undergoing bariatric surgery. Mechanisms severe upper airway obstruction restrictive chest physiology blunted central respiratory drive pulmonary hypertension. Therapy PAP Improves gas exchange, lung volumes, sleep-disordered breathing Reduces mortality. Thank you! 单纯性鼾症：夜间可出现不同程度鼾症，AHI5次/h，白天无症状。 上气道阻力综合征UARS=upper airway resistance syndrome：夜间可出现不同频度、程度鼾症，虽上气道阻力增高，但AHI5次/h，白天嗜睡或疲劳，试验性无创通气治疗有效。 OSAHS：睡眠时上气道塌陷阻塞引起的呼吸暂停和通气不足、伴有打鼾、睡眠结构紊乱，频繁发生血氧饱和度下降、白天嗜睡等病症。 * Do Patients with OHS Experience