OSA患儿的OSA相关的高风险并发症发生率升高 ？

What special considerations should be made for a child with trisomy 21 (also called Down syndrome) undergoing anesthesia?

患有21三体(又称唐氏综合征)的儿童在接受麻醉时应该做些什么特殊的考虑？

Children with trisomy 21 are at a higher risk of OSA than the general population, with a prevalence of approximately 30–50% [10, 11]. Thus, children with Down syndrome and OSA will have risks associated with OSA. Children with trisomy 21 are at risk of atlantoaxial instability (AAI), may have congenital heart disease (CHD), hypotonia, and hypothyroidism. Children with trisomy 21 often have had thorough cardiac evaluation and repair of CHD prior to presenting for tonsillectomy or adenoidectomy. If these patients are not stable from a cardiac standpoint the surgery should not proceed. If the patient has certain cardiac defects or repairs, preoperative antibiotics may be needed for endocarditis prophylaxis.

患有21三体的儿童患阻塞性睡眠呼吸暂停的风险高于普通人群，患病率约为30-50%[10，11]。因此，患有唐氏综合症和阻塞性睡眠呼吸暂停综合征的儿童将有患阻塞性睡眠呼吸暂停综合征的风险。21三体儿童有寰枢椎不稳(AAI)的风险，可能有先天性心脏病(CHD)、肌张力低下和甲状腺功能减退。患有21三体的儿童在接受扁桃体或腺样体切除术之前，通常对冠心病进行了彻底的心脏评估和修复。如果这些患者从心脏角度来看不稳定，手术就不应该进行。如果患者有某些心脏缺陷或修复，术前可能需要抗生素来预防心内膜炎。

.我怎么感觉作者在叙述时把21三体和唐氏综合征分开了，感觉这是两种病是的

children with Down syndrome and OSA will have risks associated with OSA. 这句话是不是又有点毛病，什么叫有OSA的病人有OSA的高风险

如果说唐氏综合征患儿的OSA相关的高风险并发症发生率升高，是可以理解的，

但是如果说OSA患儿的OSA相关的高风险并发症发生率升高 我感觉就是废话了，如果不高，怎么能叫OSA患儿？