Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2022, Vol. 36 ›› Issue (1): 116-119.doi: 10.6040/j.issn.1673-3770.0.2021.417

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Multidisciplinary diagnosis and treatment of a child with severe obstructive sleep apnea syndrome complicated by pulmonary hypertension

SHI Xiaoli, MU Hong   

  1. The First Department of Otolaryngology, Children's Hospital, Shandong University, Jinan 250022, Shandong, China
  • Published:2022-02-22

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Abstract: Objective To investigate the pathogenesis, diagnosis, treatment and perioperative management of children with severe obstructive sleep apnea(OSA)complicated by pulmonary hypertension. Methods A retrospective review of one child with OSA complicated by pulmonary hypertension is analyzed. Results Pulmonary hypertension can cause by severe OSA in children. Multidisciplinary diagnosis and treatment should be conducted for children with severe OSA complicated by pulmonary hypertension to exclude other factors that may lead to pulmonary hypertension. Surgical treatment could be chosen for children with severe OSA with mild hypertrophy of tonsil and adenoid after other obstruction factors were excluded. Perioperative CPAP therapy can rapidly correct pulmonary hypertension and reduce perioperative risk. Conclusion Operation combined with perioperative CPAP therapy is an effective treatment for severe OSA complicated by pulmonary hypertension. Polysomnography monitoring is an important means to judge the severity of children's disease and evaluate the efficacy of surgery.

Key words: Obstructive sleep apnea, Children, Pulmonary arterial hypertension, Continuous positive airway pressure, Adenotonsillectomy

CLC Number: 

  • R766
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