What Is Pickwickian Syndrome?

Pickwick Syndrome is a clinical syndrome of severe obesity. Patients show difficulty breathing, can't lie flat, intermittent or tide breathing, fast pulse, may have cyanosis, edema, unconsciousness, lethargy, lethargy, etc.

Pickwick Syndrome

Pickwick Syndrome is a clinical syndrome of severe obesity.

Excessive fat tissue in the abdominal cavity and chest wall, affecting breathing

1. Inhale oxygen.

It is advisable to use a low concentration (flow rate 2L / min). Inhaling oxygen at night can reduce the patient's periodic apnea, and it can also reduce drowsiness during the day.

2. Breathing stimulants.

Such as colamin, lobelin and other preparations, can be injected intramuscularly or intravenously.

3. Cardiotonics.

Can be used cedilan or poisonous trichoside K, added glucose solution 20 ~ 40ml intravenous bolus.

4. Diuretics.

Fasting urine 20-40% is administered orally, intramuscularly or intravenously.

5. Antibiotics.

If there is a concurrent infection, use antibiotics appropriately. ^[1]

The main treatment principle of this disease is to strictly control diet, adopt hunger therapy to reduce calories, can quickly lose weight in a short time, the condition can be controlled, and the effect can be achieved.

At the same time as weight loss, fat in the tissues around the chest wall, intercostal muscles, diaphragm, and airways is reduced, and pulmonary ventilation and ventilation functions can be improved, hypoxia reduced, cardiopulmonary blood circulation improved, and symptoms resolved. ^[1]