以夜间惊恐样发作为主要症状的REM型阻塞性睡眠呼吸暂停1例

A case of REM obstructive sleep apnea with nocturnal panic-like episode as the main symptom

阻塞性睡眠呼吸暂停(obstructive sleep apnea.OSA)是临床上常见的睡眠呼吸疾病,其人群发病率达3%〜7%^([1])。因其间歇性低氧血症、高碳酸血症及睡眠紊乱导致高血压、心律失常、糖尿病等多系统疾病^([2])。除躯体疾病外,OSA还常伴有焦虑抑郁等精神症状,特别是发生在REM睡眠期的OSA。

Obstructive sleep apnea(OSA)is a common clinical syndrome.The symptoms such as suffocation and hypoxia that appear at night in patients with OSA are often similar to the symptoms of panic attacks and are easily overlooked,which increases the clinical misdiagnosis rate.A case of REM OSA who was misdiagnosed as a panic attack is reported.The case will be analyzed and discussed in order to raise the awareness and attention to this disease.