severe obstructive sleep apnea and long distance truck driving a case report严重的阻塞性睡眠呼吸暂停和长途卡车司机一个案例报告.pdfVIP

Vol.2, No.2, 157-161 (2012) Open Journal of Preventive Medicine /10.4236/ojpm.2012.22023 Severe obstructive sleep apnea and long distance truck driving: A case report 1* 1 2 1 Lisa N. Sharwood , Jane Elkington , Mark Stevenson , Soufiane Boufous , Keith K. Wong3 1The George Institute for Global Health, Sydney, Australia; *Corresponding Author: lsharwood@.au 2Accident Research Centre, Monash University, Melbourne, Australia 3Respiratory and Sleep Medicine Unit, Royal Prince Alfred Hospital, Sydney, Australia Received 18 January 2012; revised 28 February 2012; accepted 20 March 2012 ABSTRACT Sleepiness is difficult to quantify objectively and there- fore self-reported sleepiness levels may vary markedly Introduction: Untreated sleep disorders can in- between subjects; further, the sleep disordered breathing crease driver crash risk by up to 7 fold, and typically seen in OSA can often be insidious. Sufferers truck drivers have a variety of risk factors for of OSA generally experience repeated bouts of upper air- sleep disorders. Measures currently used to way obstruction during sleep; consequently hypoxia and identify drivers at risk depend predominantly on multiple sleep disruptions throughout the night. It is well the ability of the driver to identify and report documented that sufferers can be quite unaware of noc- themselves as sleepy. Methods: This case re- turnal symptoms, such as snoring, apneas or gasping for