Prolonged post-hyperventilation apnea in two young adults with hyperventilation syndrome.
Prolonged post-hyperventilation apnea in two young adults with hyperventilation syndrome.
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DOI：
10.1186/1751-0759-7-9
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发表时间：
2013-04-17
影响因子：
2.1
通讯作者：
Yuji S
中科院分区：
文献类型：
--
作者：
Munemoto T;Masuda A;Nagai N;Tanaka M;Yuji S
过度通气综合征（HVS）的预后一般较好。然而，重要的是在治疗HVS时要谨慎进行，因为有过度换气后死亡的病例报道。本文旨在证明HVS患者过度通气后呼吸暂停（PHA）的临床风险。我们治疗了两名患有PHA的HVS患者。第一位患者为21岁女性，PHA最长持续时间约为3.5分钟，血氧饱和度（SpO2）水平为60%。第二例患者是一名22岁的女性，PHA最长持续时间约为3分钟，SpO2水平为66%。两例患者均有意识丧失和发绀。由于没有广泛接受的治疗方案来治疗与HVS相关的延长的PHA患者，我们使用袋式口罩对两名患者进行人工通气，两名患者均康复，无任何后遗症。这些病例表明，一些HVS患者会出现延长的PHA或严重缺氧，这在某些情况下会导致死亡。必须对发展为PHA的HVS患者给予适当的治疗，以防止这种可能性。如果出现长时间的PHA或严重的低氧血症，必须立即使用袋式面罩进行呼吸辅助。
The prognosis of hyperventilation syndrome (HVS) is generally good. However, it is important to proceed with care when treating HVS because cases of death following hyperventilation have been reported. This paper was done to demonstrate the clinical risk of post-hyperventilation apnea (PHA) in patients with HVS. We treated two patients with HVS who suffered from PHA. The first, a 21-year-old woman, had a maximum duration of PHA of about 3.5 minutes and an oxygen saturation (SpO2) level of 60%. The second patient, a 22-year-old woman, had a maximum duration of PHA of about 3 minutes and an SpO2 level of 66%. Both patients had loss of consciousness and cyanosis. Because there is no widely accepted regimen for treating patients with prolonged PHA related to HVS, we administered artificial ventilation to both patients using a bag mask and both recovered without any after effects. These cases show that some patients with HVS develop prolonged PHA or severe hypoxia, which has been shown to lead to death in some cases. Proper treatment must be given to patients with HVS who develop PHA to protect against this possibility. If prolonged PHA or severe hypoxemia arises, respiratory assistance using a bag mask must be done immediately.