高通气综合征2例并文献复习

Hyperventilation syndrome:two cases report and review of the literature in Chinese patients

目的提高对高通气综合征的认识和诊断水平。方法采用病例分析和文献复习的方法,分析高速通气综合征的病因及病理生理机制,综述其诊断标准和治疗原则。结果2例在我院诊治的高通气综合征患者。依靠典型的症状、过度通气激发试验部分或完全复制出主要症状、且排除其他可能的器质性疾病而确诊。治疗上反应用腹式呼吸训练治疗成功地缓解了患者症状,收到很好的疗效。结论高通气综合征在国内确有发病者,且不少首诊于县级及以下基层医院,提高对其的认识和诊断水平可大大减轻患者心理和经济负担。

Objective To reinforce the understanding of hyperventilation syndrome and increase the diagnostic capability of this disease. Methods Applying case report and literature review method to analyze hyperventilation syndromes etiological factors and its pathophysilolgical mechanism,then conclude its diagnestic standards and therapentio principle. Results Two cases with manifest hyperventilation syndrome were reported. The diagnosis was based on the presence of several suggestive complaints occurring in a context of stress, and the reproduction of the most important complaints by the hyperventilation provocation test. Organic diseases as a cause of the symptoms had been excluded. Breathing therapy reducing the tendency to hyperventilate by acquiring an abdominal breathing pattern markedly reduced complaints in the patients. Conclusion Hyperventilation syndrome virtually occurs in Chinese people, and many get their first medical interview in community hospitals. So doctors in these units improving the knowledge of this disease can greatly help these patients.