Progress of hyperventilation syndrome in children / 国际儿科学杂志

Hyperventilation syndrome(HVS)in children is a common functional respiratory disorder with a group of symptoms mainly characterized by hyperventilation, which is usually triggered by anxiety or stress events.A standardized questionnaire and the hyperventilation provocation test are helpful for diagnosis.Currently, the Nijmegen questionnaire is a common clinical tool to quantify and assess the severity of the symptoms.Emotional and psychological factors are major causes of HVS onset, meanwhile, abnormal breathing patterns are also implicated.Reassurance therapy and breathing retraining can improve the symptoms.

Hyperventilation Syndrome

Introduction: Hyperventilation syndrome refers to acollection of physical and emotional symptoms, broughtabout by hyperventilation. Though it is a relatively commonpresentation to the emergency department, there are only a fewstudies on hyperventilation syndrome (HVS) especially fromIndia. This study aims at studying the factors associated withhyperventilation syndrome in the current study population.Material and methods: A cross sectional study wasconducted on 83 patients with HVS. Patient responses wererecorded on Nijmegen questionnaire and Perceived stressscale and analyzed with descriptive statistics.Results: Study population included 83 patients, 78.32% ofthe populations were females and 21.68% were males. Themean age of the population is 19.28 years. 66.26% wereadolescents, 81.92% are students and 68.67% were residingin hostel. 12.05% had previous episodes of hyperventilation.Carpo-pedal spasm was the presenting symptom in 40.96%population and exams were the cause of stress for 32.5%population. The mean score on perceived stress scale is 24.92.59.03% had moderate and 38.55% had severe stress as perscores on perceived stress scale.Conclusion: High student population presenting with HVSand exams being the precipitating stressor, high scores onperceived stress scale emphasizes the need to address the needfor stress free curriculum and greater insights in to the issue.

Complications of mandibular third molar extraction : two case reports of hyperventilation syndrome and displacement of roots into submandibular space

Hyperventilation syndrome and family therapy: A case report.

Hyperventilation syndrome usually occurs in patients who have psychological and/or psychosocial stress(es). Hyperventilative patients breathe rapidly and deeply for several minutes, feel light-headed, and then faint because of cerebral vasoconstriction and a respiratory alkalosis. Other symptoms such as paresthesias and carpopedal spasm, may be presented. Conventional treatment consists of instruction or retrataining regarding particular symptoms and how they are evoked by hyperventilation so that patients can consciously avoid precipicular symptoms. Breathing into a paper bag can abort the attack. Reassurance, supportive psychotherapy and antianxiety medication are also indicated. As far as we know, there has been no report about treating hyperventilation syndrome with family therapy. We report here on a 13-year-old adolescent girl who presented with a history of multiple hyperventilation syndrome attacks in four months precipitated with psychosocial stressors and a family problem. Her symptoms had not been recovered by conventional treatment. Family therapy was given to the patient and her family for one session. After the treatment, her symptoms were cured, she and her family understood and solved the problem. She has been healthy and can study well.