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阻塞

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Objective:To estimate the value of using impulse oscillometry to measure airway resistance in patients with chronic obstructive pulmonary diseases.

目的:探讨脉冲振荡法(Impulse Oscillometry system,IOS)对慢性阻塞性肺病患者肺功能的临床判断价值。

Pulmonary function ; impulse oscillometry ; pulmonary fibrosis ; chronic pulmonary disease

肺功能;脉冲振荡;肺间质纤维化;慢性阻塞性肺疾病

Objective: To observe the change of measurement values of impulse oscillometry in obstructive sleep apnea and hypopnea syndrome patients and its clinical significance under high altitude condition.

阻塞性睡眠呼吸暂停低通气综合征是一种具有潜在危险性的常见疾病,主要症状为反复发作呼吸暂停、严重打鼾、记忆力损害及高血压等。

Methods Routine and impulse oscillometry pulmonary function tests,including VC%,FVC% FEV1.0,FEV1.0/FVC%,PEF,FEF50,FEF25 and diffusing capacity of CO,were conducted in 35 normal subjects,38 patients with pulmonary fibrosis(Group 1) and 18 patients suffering from chronic obstructive pulmonary disease and pulmonary fibr...

方法单纯肺间质纤维化病人38例,慢性阻塞性肺疾病合并肺间质纤维化病人18例和健康人35例分别测定常规肺功能,包括肺活量、1秒量(FEV1.0)、1秒率(FEV1.0/FVC%);呼气峰流速、50%用力呼气流速(FEF50);25%用力呼气流速(FEF25)和一氧化碳弥散量。

Sleep apnea ; obstructive ; Otorhinolaryngologic surgical procedures

睡眠呼吸暂停;阻塞性;耳鼻喉外科手术

Sleep apnea, obstructive; Otorhinolaryngologic surgical procedures; Positive-pressure respiration; Tracheotomy

睡眠呼吸暂停,阻塞性耳鼻喉外科手术正压呼吸气管切开术

Had to outwait the traffic jam .

只好等到交通阻塞被疏通后

Objective:To observe the histopathologic characteristic of the palatopharyngeal tissue and study the effect of ectopic accumulation of lipid on the pathogenesis and development of OSAHS.

目的:观察阻塞性睡眠呼吸暂停低通气综合征患者腭咽组织病理学变化特点,探讨腭咽组织中脂质异位积累在OSAHS发生、发展机制中的作用。

Methods 69 cases of severer OSAHS with nasal、palatopharyngeal or tongue base obstruction were studied. Endonasal endoscopy surgery, modified UPPP and tongue radiofrequency or ablation were perforemed.

方法对 69例重度有鼻腔、腭咽和舌根平面阻塞的 OSAHS 患者行鼻内镜手术、保留悬雍垂腭咽成形术和舌根射频或等离子消融术。

MethodsFrom January 2003 to June 2008, 109 (98 males and 11 females) cases of severe OSAHS were treated with UPPP. All patients were checked with a fiber optic laryngoscope of Muller and X-ray or CT for upper air flue when they were in a waking state to locate the collapse level (oropharyngeal and palatopharyngeal level, most of them had an obstruction on the oropharyngeal level). After the UPPP, they were sent to the ICU and monitored with trachea cannula for 1 to 2days.

方法对重度OSAHS患者行UPPP联合舌骨悬吊术109例,每例患者术前均行清醒状态纤维喉镜下Muller检查、上气道的X线片或上气道CT测量,术前确定阻塞平面为腭-咽及舌-咽平面,但以舌-咽平面为主,均行UPPP联合舌骨悬吊术,术后均于ICU保留气管插管监护1~2d。

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