Moldovanu I V, Medvedeva M V
Zh Nevropatol Psikhiatr Im S S Korsakova. 1990;90(5):8-13.
As many as 61 patients with neurogenic syncopes were examined. Of these, 46 demonstrated well-defined signs of the hyperventilation syndrome within the structure of the clinical manifestations. The remaining 15 patients had no disorders indicated. The control group comprised 18 healthy persons. Thorough analysis of factors provoking syncopal, pre- and postsyncopal conditions, studies into the psychic and vegetative spheres including the respiratory system--all this made it possible to define a number of features characteristic of patients entering the groups under study. It has been shown that hyperventilation bears the function of the leading factor in the pathogenesis of vegetative disorders. In addition to chronic hyperventilation sequels, those disorders entail the occurrence of syncopal conditions. During treatment, of paramount importance is the correction of the impaired respiratory pattern, the reduction of neuromuscular excitability along with the use of psychotropic and vegetotropic remedies.
对多达61例神经源性晕厥患者进行了检查。其中，46例在临床表现结构中表现出明确的过度通气综合征体征。其余15例患者未显示出相关病症。对照组由18名健康人组成。对诱发晕厥、晕厥前和晕厥后状况的因素进行全面分析，对包括呼吸系统在内的精神和植物神经系统进行研究——所有这些使得能够确定进入研究组的患者的一些特征。结果表明，过度通气在植物神经功能紊乱的发病机制中起主导作用。除了慢性过度通气后遗症外，这些紊乱还会导致晕厥状况的发生。在治疗过程中，纠正受损的呼吸模式、降低神经肌肉兴奋性以及使用精神药物和植物神经药物至关重要。
