J Korean Neurol Assoc > Volume 23(6); 2005 > Article
Journal of the Korean Neurological Association 2005;23(6): 836-839.
이단 상기도 양압 치료를 이용하여 치료된 중증 비만성 저환기 증후군 환자 1예
김호정, 홍성규 한진규 김병조 박건우 이대희 오경미 심완주a 박상수a 신승용a
고려대학교 의과대학 신경과학교실, 내과학교실a
A Case of Severe Obesity-Hypoventilation Syndrome Treated by Bilevel Positive Airway Pressure Therapy
Ho-Jung Kim
Departments of Neurology, Internal Medicinea, Korea University College of Medicine, Seoul, Korea
Abstract
Obesity-Hypoventilation syndrome (OHS) is characterized by morbid obesity, hypoxia, and hypercapnea during wakefulness without parechymal lung disease or severe obstructive sleep apnea. A woman was admitted because of mental deterioration and diagnosed as OHS on the basis of obesity and hypoventilation, while awake, after ruling out other causes. By bilevel positive airway pressure (BiPAP) therapy, hypercapnea and hypoxia were resolved. We report that BiPAP can be an effective treatment for severe hypercapnea and hypoxia in OHS, which obviate the need for invasive endotracheal intubation.KeyWords:Obesity hypoventilation syndrome, Bilevel positive airway pressure
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