Introduction Obstructive sleep apnoea syndrome (OSAS), recurrent upper airway obstruction during sleep, increased respiratory effort against the obstructed airway, and is characterized by frequent sleep fragmentation. Obstructive sleep apnoea syndrome (OSAS) is a syndrome that affects society, in particular accounts for 5% of adults. This syndrome is the most common presenting symptoms of excessive daytime sleepiness and/or is snoring. Obesity, nasal obstruction, adenoid hypertrophy, macroglossia OSAS has been associated with such a large number of predisposing factors. Case 63 years old, female patient, respiratory arrest and not breathing during sleep at night, was admitted to the emergency room complaining of shortness of breath. History, there was one and a half years since the respiratory arrest during sleep, snoring, morning headaches, which, drowsiness during the day turned out to be complaints. The patient’s physical examination and investigations (chest X-ray, complete blood count, ECG, chest computed tomography) as a result, BMI: 25.4 kg/m 2 , depending on the patient with obesity, obstructive sleep apnoea syndrome (OSAS) was considered. The patient was referred Department of Chest Diseases. Follow-up, the polisomnography (PSG) was also diagnosed with severe OSAS Discussion OSAS, as drivers working people, especially at night, is a disease that leads to serious consequences. Polysomnography is the gold standard for diagnosis and severity of the syndrome, apnoea-hypopnea index (AHI) is determined by; AHI = normal 5 , AHI = 5–15 mild, 15–30 moderate AHI and AHI 30 is severe. From repetitive episodes of apnoea increased sympathetic nerve activity, oxidative stress, intrathoracic pressure swings, sudden jumps in systemic blood pressure, hypoxia and hypercapnia. Emergency services waking from sleep dyspnoea, lethargy and fatigue in patients admitted with complaints of snoring and OSAS cannot be forgotten.
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机译：简介阻塞性睡眠呼吸暂停综合症（OSAS），睡眠中反复出现上呼吸道阻塞，针对阻塞性气道的呼吸作用增加，并且具有频繁的睡眠碎片化的特点。阻塞性睡眠呼吸暂停综合症（OSAS）是一种影响社会的综合症，特别是占成年人的5％。该综合征是白天过度嗜睡和/或打的最常见症状。肥胖，鼻塞，腺样体肥大，大舌症OSAS与如此大量的诱发因素有关。病例63岁，女患者，呼吸暂停，夜间睡眠时未呼吸，因气短而入急诊室。历史上，自睡眠呼吸暂停已有一年半，打呼,、早晨头痛，而白天的嗜睡原来是主诉。结果，对患者进行了身体检查和检查（胸部X光检查，全血细胞计数，ECG，胸部计算机断层扫描），BMI：25.4 kg / m 2，这取决于肥胖患者，阻塞性睡眠呼吸暂停综合症（OSAS） 。该患者被转诊至胸部疾病科。随访中，人们还发现了人种学（PSG）严重的OSAS讨论OSAS，因为驾驶员上班族，尤其是在夜间，是导致严重后果的疾病。多导睡眠图是诊断和综合症严重程度的金标准，呼吸暂停-呼吸不足指数（AHI）由以下因素决定： AHI =正常<5，AHI = 5–15轻度，15–30中度AHI，AHI> 30严重。呼吸暂停反复发作会增加交感神经活动，氧化应激，胸腔内压力波动，系统性血压突然跳升，缺氧和高碳酸血症。不能忘记因打和OSAS而入睡的患者因睡眠呼吸困难，嗜睡和疲劳而醒来的紧急服务。
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