儿童肥胖症流行涉及与该临床和公共卫生问题相关的不寻常且未被认可的并发症。肥胖低通气综合征(OHS)被定义为肥胖的三联症,白天通气不足,在没有替代神经肌肉的情况下,睡眠呼吸紊乱,通气不足的机械或代谢解释。我们在此报告一名12岁男孩,他被诊断患有OHS。患者通过静脉切开术和双水平气道正压通气得到改善。据我们所知,这是报告的首例因OHS引起的继发性红细胞增多症,需要进行治疗性静脉切开术.
The childhood obesity epidemic involves unusual and underrecognized complications associated with this clinical and public health problem. Obesity hypoventilation syndrome (OHS) is defined as the triad of obesity, daytime hypoventilation, and sleep-disordered breathing in the absence of an alternative neuromuscular, mechanical or metabolic explanation for hypoventilation. We herewith report a 12-year-old boy who was diagnosed with OHS. The patient improved with phlebotomy and bi-level positive airway pressure. To the best of our knowledge, this is the first reported case of secondary polycythemia due to OHS requiring therapeutic phlebotomy.