- 主辦 / 主持人
- 林口長庚胸腔內科
- 積分
- B類1分
- 分類
- 未分類
- 聯絡人
- 黃于真 0975360241
- 活動日期
- 2018-03-02 (五) 12:30 ~ 13:30
- 地點
- 林口長庚胸腔內科討論室 （醫學大樓胸腔科門診區12號門）
- 說明
- Case sharing and DiscussionObesity-hypoventilation syndromewith severe obstructive sleep apnea syndromeShi-Min Shen MD, Shi-Wei Lin MDDepartment of Thoracic MedicineChang Gung Memorial Hospital, Taipei, TaiwanCase:A 76-year-old obese woman presented emergent department in the midnight due to mixed type respiratory failure. She underwent intubation and mechanical ventilation support for three days without evidence of infection. After extubation and transfer to ordinary ward, portable polysomnography was arranged, which diagnosed severe obstructive sleep apnea.Discussion:
- Obesity hypoventilation syndrome [1]
- Definition: A combination of obesity and chronic hypoventilation leading to pulmonary hypertension, cardiac events, and cor-pulmonale.
- Pathophysiology: Complex interactions among
impaired respiratory mechanics, abnormal central ventilatory control, possiblesleep-disordered breathing, and neurohormonal aberrancies- Clinical Symptoms: Unexplained hypoxemia, fatigue, mood disorders and nocturnal headaches may presented.
- Treatment: CPAP, Weigh-loss, Progesterone
- Obesity with obstructive sleep apnea [2]
- Evaluation of common clinical predictors as snoring, nocturnal breath cessation, and sleep attacks detect obese patients who have obstructive sleep apnea.
- Significant degree of sleep disturbance presented in obese patients comparing with non-obese patients.
Reference:1. Olson, A.L. and C. Zwillich, The obesity hypoventilation syndrome. The American journal of medicine, 2005. 118(9): p. 948-956.2. Vgontzas, A.N., et al., Sleep apnea and sleep disruption in obese patients. Archives of Internal Medicine, 1994. 154(15): p. 1705-1711.
摘要表: Case sharing and Discussion 0302.doc
2018-03-02 林口長庚胸腔內科討論室 （醫學大樓胸腔科門診區12號門）
| 時間 | 主題 | |
|---|---|---|
| 沒有資料 | ||