CAJ | 학술논문

目的：对过度换气综合征患者进行院前治疗，以稳定病情，防止引起器官衰竭。方法：对80例患者以病情轻重分三类，即轻中重，轻度患者给予暗示疗法，嘱患者全身放松，均匀呼吸，有意识地减慢呼吸频率或屏气，以减少二氧化碳的呼出，改善碱中毒，缓解症状。中度患者在轻度患者治疗的基础上，给予患者用硬纸片围成喇叭状罩在患者的口鼻处，增加呼吸无效腔，让呼出的二氧化碳重新吸入体内，以改善中毒症状。重度患者在基于上述治疗上，给予镇静剂和维生素B类肌注，并酌情静脉注射10%葡萄糖酸钙10毫升。结果：80例患者经过院前0.5～1小时的处理，轻度患者15例症状完全缓解，占100%；中度患者55例，症状缓解的有48例，占87%；重度患者10例，症状缓解或减轻的有7例，占70%。结论：院前治疗是治疗过度换气综合症的积极有效的方法，可迅速缓解症状，预防了病情恶化、器官衰竭的发生。
목적：대과도환기종합정환자진행원전치료，이은정병정，방지인기기관쇠갈。방법：대80례환자이병정경중분삼류，즉경중중，경도환자급여암시요법，촉환자전신방송，균균호흡，유의식지감만호흡빈솔혹병기，이감소이양화탄적호출，개선감중독，완해증상。중도환자재경도환자치료적기출상，급여환자용경지편위성나팔상조재환자적구비처，증가호흡무효강，양호출적이양화탄중신흡입체내，이개선중독증상。중도환자재기우상술치료상，급여진정제화유생소B류기주，병작정정맥주사10%포도당산개10호승。결과：80례환자경과원전0.5～1소시적처리，경도환자15례증상완전완해，점100%；중도환자55례，증상완해적유48례，점87%；중도환자10례，증상완해혹감경적유7례，점70%。결론：원전치료시치료과도환기종합증적적겁유효적방법，가신속완해증상，예방료병정악화、기관쇠갈적발생。
ObjectivePre-hospital treatment in patients with hyperventilation syndrome, to stabilize the illness, prevent cause organ failure.Methods Of 80 patients with illness weight points three categories, mild patients give hinted therapy, told the patient body relax, even breathing, to reduce carbon dioxide exhaled, relieve symptoms. Moderate patients with cardboard into a trumpet-shaped hood at the patient's mouth and nose, increase respiratory cavity invalid, exhaled carbon dioxide to breathe, to improve the symptoms of poisoning. Severe patients given sedatives and vitamin B kind of intramuscular injection.Results15 patients with mild symptoms completely, accounting for 100%; 55 patients with moderate, symptoms of 48 cases, accounting for 87%; 10 patients with severe symptoms or reduce in 7 cases, accounting for 70%.Conclusions Pre-hospital treatment are effective methods in the treatment of hyperventilation syndrome, can achieve quickly relieve symptoms, prevent the happening of the deterioration and organ failure.