心因性过度换气综合征61例

Clinic analysis of psychogenic hyperventilation syndrome

目的探讨心因性过度换气综合征的临床表现、诊断及治疗。方法对61例心因性过度换气综合征患者的临床表现、实验室检查及诊断、治疗进行分析。结果心因性过度换气综合征发病多以社会心理因素为诱因(50/61,81.97%),发作性起病,均表现为呼吸急促或深大,呼吸频率>30次/min,可伴手足搐搦(20/61,32.79%)、低钾血症(17/45,37.78%),心电图呈一过性缺血性改变(7/30,23.33%),61例均予以暗示性输液、肌注安定、补充钾盐等治疗后,病情迅速缓解。结论心因性过度换气综合征是综合医院常见的精神科急诊,提高对该综合征临床特点的认识,可以避免诊疗过程中不必要的紧张,减少误诊和过度治疗。

Objective To discuss the clinic manifestations, diagnosises and therapies of psychogenic hyperventilation syndrome. Method The clinic manifestations, lab tests, electrocardiogram, diagnosises, and therapies of 61 cases with psychogenic hyperventilation syndrome were analyzed. Result Psychogenic hyperventilation syndrome was often induced by social and psychological factors （50/61, 81.97%）. All the patients demonstrated tachypnea deep breathing. The respiratory rates were more than 30 per min, accompanied with trembling in hands and feet （20/61, 32. 79% ）, hypokalemia （17/45, 37. 78%）, and transient ischemic changes in electrocardiogram （7/30, 23.33 %）. The proper treatments such as infusion, diazepamum were effective to the patients, which usually got a good prognoses. Conclusion Psychogenic Hyperventilation Syndrome is a popular psychiatric emergency in comprehensive hospitals. It is important to understand its clinic characters, which could reduce the misdiagnosis and over treatment.