阻塞性睡眠呼吸暂停低通气综合征的诊疗及鉴别诊疗【摘要】目的 探讨阻塞性睡眠呼吸暂停低通气综合征的诊疗要点及与误诊疾病的鉴别诊疗。办法 通过回想性分析我院初诊为阻塞性睡眠呼吸暂停低通气综合征（osahs）102 例，讨论 osahs 的鉴别诊疗要点。成果 102 例患者中经多导睡眠监测诊疗为 osahs，结合病史及进一步的影像学、血清学检查中有 2 例确诊为垂体瘤，2 例确诊为甲状腺功效低下。结论 多导睡眠监测是诊疗 osahs 的金原则，病史、影像学检查及血清学检查有助于 osahs 与其它疾病鉴别。【核心词】阻塞性睡眠呼吸暂停低通气综合征 诊疗 鉴别诊疗【abstract】objective to explore the obstructive sleep apnea-hypopnea syndrome diagnosis, and misdiagnosis of difference in differential diagnosis of disease. methods to analysis 102 cases of obstructive sleep apnea-hypopnea syndrome (osahs ) retrospectively, and discuss the essential discrimination for diagnosis of osahs with other diseases. results 102 cases were disgnosed with polysomnography (psg), but 2 cases were diagnosed as pituitary tumor, 2 cases as thyroid function low with clinical manifestations , imaging and serology examination. conclusion psg is the golden rule for diagnose of osahs, and clinical manifestations, imaging and serology examination is helpful for the differentiation of osahs.【key words】obstructive sleep apnea-hypopnea syndrome diagnosis differential diagnosis阻塞性睡眠呼吸暂停低通气综合征（obstructive sleep apnea-hypopnea syndrome，osahs)是指患者在睡眠时上气道塌陷阻塞引发的呼吸暂停和低通气，普通伴有打鼾、呼吸构造紊乱、白天嗜睡等体现，并可能造成全身多器官病变，如引发高血压、冠心病等病症。1 资料与办法1.1 普通资料 我院耳鼻喉科行多导睡眠监测检查初诊为osahs。选用 6 月至 6 月 共 102 例 osahs 者。男：女为 98/4，年纪 19 岁-69 岁，平均年纪 42.3 岁，病程 0.5-，平均 6.4 年。其中osahs 患者中轻度 18 例，中度 39 例，重度 45 例。合并全身其它疾病：高血压 48 例，心脑血管疾病(涉及脑梗、冠心病)25 ...
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