摘要
目的探讨阻塞性睡眠呼吸暂停综合征(OSAS)所致认知障碍的病因、诊断及治疗。方法分析1例由OSAS引起的急性记忆障碍患者的临床表现及其辅助检查结果与治疗经过,并复习相关文献。结果患者突然出现记忆障碍,无神经系统其他症状和体征,持续气道正压通气(CPAP)结合改善脑循环治疗有效。结论OSAS可引起全身各系统的多种疾病,神经元缺氧损伤及生化代谢紊乱是其引起认知障碍的主要病因,而由其导致的急性记忆障碍则需依据基础病史及相关辅助检查确诊。
Objective To explore the pathogenesis,diagnosis and treatment of the cognitive impairment caused by obstructive sleep apnea syndrome（OSAS）. Methods We analyzed the clinical manifestation,labora tory finding and therapeutic course of a patient suffered from acute dysmnesy caused by OSAS, and reviewed pertinent literature as well. Results The patient suffered from acute dysmnesy without other sings and symptoms of the nervous system. Continuous positive airway pressure combined with amelioration cerebral circulation were effective. Conclusion OSAS can cause multisystem disorders. The oxygen deficiency and metabolism disorder of neurons were the main etiological factor in congnitive impairment. The final diagnosis of acute dysmnesy caused by it need to depend on grounding history and correlate auxiliary examinations.
出处
《卒中与神经疾病》
2006年第5期281-283,共3页
Stroke and Nervous Diseases
