儿童重症OSAHS伴漏斗胸1例

Children severe OSAHS with pectus excavatum:a case report

1病例报告患儿,男,5岁,汉族,因＂睡眠打鼾4年余,加重伴憋气2d＂于2014年9月9日来我院就诊。患儿于入院前4年无明显诱因出现鼻塞、睡眠时张口呼吸、打鼾、憋气,感冒时鼻塞、打鼾症状尤为明显,有时伴有耳痛。入院前1周,患儿因受凉感冒后鼻塞加重,夜间睡眠打鼾伴明显憋气,近2d来上述症状明显加重,父母发现患儿胸廓畸形,睡眠中吸气时胸廓有剧烈塌陷,遂来我院就诊,

The primary etiopathology of pediatric OSAHS includes tonsil or adenoid hypertrophy.Severe OSAHS contributes to or aggravates thoracic deformity,which is rarely reported.In the current report,This children sleep snoring more than 4years,increasing with thoracic severe depression during sleep 2days.Clinical examination indicated tonsil and adenoid hypertrophy,and polysomnography revealed OSAHS.The symptoms of OSAHS and severe inhalation-related sternum depression disappeared rapidly after tonsillectomy.Our findings indicated that OSAHS were the major causes underlying funnel chest in children.The rarity of the incidence may result in missed diagnosis or misdiagnosis.Polysomnography was recommended for the child diagnosed with funnel chest accompanied by upper airway stenosis.