颌下腺摘除术后不明原因过度通气综合征一例

A Case of Unexplained Hyperventilation Syndrome after Submandibular Gland Resection

摘要: 一年轻女性患者既往体健，行颌下腺摘除术，术中及恢复室恢复均顺利，拔除气管导管，安返病房6小时后，突发呼吸困难、四肢痉挛、全身麻木，但意识清楚。多方检查会诊后，排除心脑血管意外等器质性改变，考虑过度通气综合征，给予蓄积二氧化碳对症治疗后，好转出院。此现象外科工作中较为少见，该病例可拓展临床思维，为同道在临床工作中的诊断与治疗提供参考。该报道已征得患者本人同意。

Abstract: A patient, who was previously healthy and underwent submandibular gland excision, was removed the endotracheal tube smoothly in the recovery room. The operation went smoothly. Six hours after the patient returned to the ward, she had sudden dyspnea, limb spasm and general numbness, while she was conscious. After multiple examinations, cardio-cerebrovascular accidents were excluded and hyperventilation syndrome was considered. Given symptomatic treatment of carbon dioxide accumulation, the patient improved and was discharged from the hospital. This phenomenon is rare in surgical work. This case can expand clinical thinking and provide reference for other colleagues. The report has been approved by the patient herself.