器質的疾患の経過中に過換気症候群を来した2症例

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We observed two cases of hyperventilation syndrome (HVS) in the course of organic diseases.The first case, a 28-year old male complaining of epigastralgia, nausea, and palpitation, had an attack of dyspnea and anxiety accompanied by respiratory alkalosis before the diagnosis of hyperthyroidism was confirmed. He was worn out by his hard work and was anxious about his symptoms. Medication with antithyroid agents in combination with proparnolol and diazepam totally relieved him from his complaints.The second case, a 22-year old female, was referred to our department of critical care medicine, complaining of dyspnea with faintness. Remarkable respiratory alkalosis was evidenced by arterial blood gas analysis. She had severe anemia due to hypermenorrhea and needed blood transfusion, but even after the anemia convalesced, she showed emotional lability and recurred hyperventilation attacks. Psychological interview revealed that she was ambibalent towards her parents and her job. She was improved finally by intensive psychoterapy although the imaba lance in the autonomic nervous system remained.The HVS commonly occurs in the absence of physical disorder and is usually regarded as psychiatric or functional ; however, it is suggested from the cases described above that HVS might be seen in the course of various organic diseases. We would like to emphasize the importance of close inverstigation in patients with hyperventilation, somatically as well as psychologically.
1989-10-01

器質的疾患の経過中に過換気症候群を来した2症例

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