肥胖症合并重度阻塞性睡眠呼吸暂停低通气综合征的多学科团队诊断与治疗

Multidisciplinary team diagnosis and treatment of obesity complicated with severe obstructive sleep apnea hypopnea syndrome

患者男,38岁。因"外伤至阴囊、双下肢肿胀并疼痛3d余"就诊我院急诊科,急诊科给予对症治疗后好转。因患者为重度肥胖症,我科参与会诊后,收治拟行减重手术治疗。患者入院体格检查:体质量155kg,身高169cm,BMI54.27kg/m2,腹部膨隆,呈蛙状腹,腹软,全腹无压痛反跳痛,墨菲征阴性,肝、脾、肾区无叩击痛,未闻及肠鸣音。双下肢轻度凹陷性水肿。阴囊水肿。全身可见多处皮肤褶皱处色素沉着、角化过度。血常规及实验室指标检查:RBC8.31×1012/L、Hb195g/L、尿酸670μmol/L、Alb29.9g/L、D-二聚体1.26mg/L。