Kuhfahl E
Z Gesamte Inn Med. 1977 Oct 15;32(20):suppl: 311-4.
In one year among 16 male patients and 24 female patients who were admitted on account of a considerable obesity and the connected with complaints in order to reduce the weight in the hospital, thrice the diagnosis abortive Pickwick-syndrome was made. Apart from the characteristic symptoms of obesity, hypersomnia, periodical breathing in sleep in all three patients smaller anatomical changes in the nasopharyngeal space were found. Secondary cardiopulmonary or cerebral sequels, as they are described in full pictures and late forms of the Pickwick-syndrome, could not be registered. The diagnosis of abortive Pickwick-syndrome, which we made ex juvantibus (reduction of weight), is perhaps more frequent than up to now assumed. Since the pathological disposition for sleep among others is of great importance in the field of transport and occupational medicine and may be prevented only by reduction of weight, which could be confirmed also in our three cases, it is referred to the necessity of an early recognition and treatment.
在一年时间里，16名男性患者和24名女性患者因严重肥胖及相关不适症状入院接受减重治疗，其中有3例被诊断为不完全性匹克威克综合征。除了肥胖、嗜睡、睡眠中周期性呼吸等典型症状外，在所有这3例患者的鼻咽部均发现了较小的解剖学改变。未发现如匹克威克综合征全貌及晚期形式中所描述的继发性心肺或脑部后遗症。我们根据减重效果做出的不完全性匹克威克综合征诊断，可能比目前认为的更为常见。由于睡眠方面的病理倾向在交通和职业医学领域极为重要，且可能仅通过减重来预防，这在我们的3例病例中也得到了证实，因此有必要早期识别和治疗。
