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“兵”分十二路 合力打通呼吸通道
2017-08-23 10:01:57 中国青年网
胖爹爹打鼾给慢阻肺“火上浇油”
63岁的廖爹爹三年前就开始咳嗽、胸闷、气短,时常憋气、呼吸困难,到医院查出慢阻肺。
廖爹爹找到市六医院呼吸内科睡眠疾病组孟庆华副主任医师,经睡眠呼吸监测,平均每小时出现呼吸暂停90次,最长一次暂停达到116秒,被确诊为睡眠呼吸暂停综合征。
李承红主任与慢阻肺团队王传海副主任医师和睡眠疾病团队孟庆华副主任医师一起,兵分两路“私家定制”个体化治疗方案:一方面让廖爹爹在睡觉时配带呼吸机消除打鼾症状;另一方面定期随诊,及时追踪呼吸、睡眠、饮食、体重等情况,实时调整用药。在规范化治疗的同时,耐心对廖爹爹进行心理抚慰。两个月下来,廖爹爹晚上睡觉不打鼾了,慢阻肺的症状也减轻不少。
李承红主任提醒,门诊中像廖爹爹这样慢阻肺合并睡眠呼吸暂停的患者并不少见。她指出,慢阻肺和睡眠呼吸暂停综合征同时发生,就如同火上浇油,不但会导致缺氧,而且还会加重肺动脉高压,出现严重的呼吸衰竭,大大增加了死亡率。
市六医院呼吸内科从2008年开始就致力于睡眠呼吸疾病的临床研究,每年为700余名睡眠呼吸障碍患者摆脱了睡眠疾病的困扰,睡眠呼吸疾病的诊治达到省内领先水平。
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