Le Ber C, Leroyer C, Chenu E, Dewitte J D, Clavier J
Service de Pneumologie et d'Oncologie thoracique, CHRU Morvan, Brest.
Rev Pneumol Clin. 1995;51(2):53-8.
Hyperventilation syndrome is a frequent, but poorly understood clinical entity. The clinical expression is a rich combination of respiratory, cardiac and neurological signs which can simulate various organic diseases. Hypocapnia remains the primum movens for most authors although the relationship with psychiatric situations, in particular in anxious patients, is increasingly emphasized. The diagnosis is currently based on the elimination of diseases associated with hyperventilation, then on Nijmegen's questionnaire and is confirmed by the reproduction of the same clinical picture in a voluntary hyperventilation test. Respiratory function tests offer little information. Treatment is based on combining rehabilitation therapy focused on the diaphragm and on relaxation. Specialized care may be needed in psychiatric patients.
过度通气综合征是一种常见但了解不足的临床病症。其临床表现是呼吸、心脏和神经体征的丰富组合，可模拟各种器质性疾病。尽管与精神状况的关系，特别是在焦虑患者中，越来越受到重视，但低碳酸血症仍是大多数作者认为的主要驱动因素。目前的诊断基于排除与过度通气相关的疾病，然后依据奈梅亨问卷进行，通过自愿过度通气试验重现相同临床表现来确诊。呼吸功能测试提供的信息很少。治疗基于结合以膈肌为重点的康复治疗和放松疗法。精神病患者可能需要专科护理。
