肥胖低通气综合征
Obesity hypoventilation syndrome
- 层级
- 4 级
定义
肥胖低通气综合征的特征是肥胖（成人体重指数> 30 kg/m²）和日间高碳酸血症，表现为动脉血二氧化碳分压（PaCO2）> 45 mm Hg，且不能完全归因于潜在的心肺或神经系统疾病。高碳酸血症在睡眠期间加重，通常与严重的动脉血氧饱和度降低有关。大多数病例还伴有阻塞性睡眠呼吸暂停，除肥胖低通气外，还应诊断阻塞性睡眠呼吸暂停。 注：明确诊断需要日间高碳酸血症和基于多导睡眠呼吸监测的客观证据，以及二氧化碳（CO2）监测（通过动脉、呼气末或经皮测量）。
Obesity hypoventilation syndrome is characterised by obesity (in adults, Body-Mass-Index > 30 kg/m²) and daytime hypercapnia indicated by arterial partial pressure of carbon dioxide (PaCO2) > 45 mm Hg that cannot be fully attributed to an underlying cardiopulmonary or neurologic disease. Hypercapnia worsens during sleep and is often associated with severe arterial oxygen desaturation. Obstructive sleep apnoea is also present in the majority of cases and should be diagnosed in addition to obesity hypoventilation. Note: A definitive diagnosis requires demonstration of daytime hypercapnia and objective evidence based on polysomnography, with carbon dioxide (CO2) monitoring (by arterial, end-tidal or transcutaneous measures).
包含词 该编码包含的临床情况，通常不作为独立编码
- 匹克威克综合征
英文词条（1）
- Pickwickian syndrome
索引词 可用于检索该条目的同义词与别名
- 肥胖低通气综合征
- OHS[肥胖低通气综合征]
- Pickwick 综合征
- 肺泡低通气综合征
- 肺泡低通气综合征
- 肥胖性肺心综合征
- 匹克威克综合征
- OHS[肥胖通气低下综合征]OHS[肥胖通气不足综合征]
- 肥胖-低通气综合征，BMI30.00-34.99 kg/m²
- 肥胖伴肺泡低通气，30 kg/m²≤体重指数＜35 kg/m²
- 肥胖，伴肺泡低通气，30≤体重指数＜35
- 肥胖-低通气综合征，BMI35.00-39.99 kg/m²
- 肥胖，伴肺泡低通气，35≤体重指数＜40
- 肥胖，伴肺泡低通气，35 kg/m²≤体重指数＜40 kg/m²
- 肥胖-低通气综合征伴BMI≥40.00 kg/m²
- 极度肥胖，伴肺泡低通气，体重指数≥40 kg/m²
- 极度肥胖，伴肺泡低通气，体重指数≥40 kg/m²
- 极度肥胖，伴肺泡低通气，BMI未特指
- 极度肥胖，伴肺泡低通气，体重指数未特指
英文词条（18）
- Obesity hypoventilation syndrome
- OHS - [obesity hypoventilation syndrome]
- Pickwick syndrome
- Pickwickian syndrome
- alveolar hypoventilation syndrome
- alveolus hypoventilation syndrome
- cardiopulmonary obesity syndrome
- Obesity hypoventilation syndrome with BMI 30.00-34.99 kg/m²
- Obesity with alveolar hypoventilation with Body-Mass-Index of 30 but less than 35
- Obesity with alveolar hypoventilation with Body-Mass-Index of 30 kg/m² but less than 35 kg/m²
- Obesity hypoventilation syndrome with BMI 35.00-39.99 kg/m²
- Obesity with alveolar hypoventilation with Body-Mass-Index of 35 but less than 40
- Obesity with alveolar hypoventilation with Body-Mass-Index of 35 kg/m² but less than 40 kg/m²
- Obesity hypoventilation syndrome with BMI greater than or equal to 40.00 kg/m²
- Extreme obesity with alveolar hypoventilation with Body-Mass-Index of 40 and more
- Extreme obesity with alveolar hypoventilation with Body-Mass-Index of 40 kg/m² and more
- Extreme obesity with alveolar hypoventilation with BMI unspecified
- Extreme obesity with alveolar hypoventilation with Body-Mass-Index unspecified
后组配轴 Postcoordination
后组配是在主干编码之后追加的可选扩展轴（如侧别、具体解剖部位、严重程度），用于把「部位 + 侧别 + 病程」等细节一次表达完整。只有标注「必填」的轴在组合编码时必须给出，其余可留空。
- 临床表现hasManifestation可选