Treatment-emergent central sleep apnea has recently been noted after various treatment modalities for obstructive sleep apnea. It often remits spontaneously or can be treated with continuous positive airway pressure. However, we encountered a pediatric patient with obstructive sleep apnea who presented with severe complications, including growth failure, attention-deficit hyperactivity disorder, poor school performance, daytime sleepiness, and urinary difficulty that required permanent cystostomy. His obstructive sleep apnea resolved after adenotonsillectomy. However, treatment-emergent central sleep apnea developed after adenotonsillectomy and was further aggravated after continuous positive airway pressure and bilevel positive airway pressure without a backup respiratory rate use. After bilevel positive airway pressure with a backup respiratory rate treatment for 3 months initially, all his symptoms improved, except growth failure. Later, after adaptive servoventilation was used for 10 months, the patient's growth began to improve.

中文翻译：

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使用CPAP后持续存在高残留AHI。

在阻塞性睡眠呼吸暂停的各种治疗方式之后，最近出现了治疗性中枢睡眠呼吸暂停。它通常可以自发缓解，也可以通过持续的气道正压进行治疗。但是，我们遇到了一名患有阻塞性睡眠呼吸暂停的儿科患者，患者出现严重并发症，包括生长衰竭，注意力缺陷多动障碍，学校学习成绩差，白天嗜睡以及需要永久性膀胱造口术的排尿困难。腺扁桃体切除术后他的阻塞性睡眠呼吸暂停得到解决。然而，腺扁桃体切除术后出现治疗性中枢性睡眠呼吸暂停，持续气道正压和双水平气道正压持续加重，而没有使用备用呼吸频率。最初采用双水平气道正压通气并进行后呼吸频率治疗3个月后，除生长衰竭外，他的所有症状均得到改善。后来，使用自适应伺服通气10个月后，患者的生长开始改善。