Acid-Base Balance of the Blood in a Patient With Hysterical Hyperventilation

Talbott, John H.

doi:10.1001/archneurpsyc.1938.02270050099005

Arch NeurPsych

1938

DOI: 10.1001/archneurpsyc.1938.02270050099005

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Acid-Base Balance of the Blood in a Patient With Hysterical Hyperventilation

John H. Talbott¹

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1941

1953

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Cited by 16 publications

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“…Robinson suggested that the lower value in early childhood may represent a compensation to loss of CO2 by overventilation, since his study had shown that young children have very high rates of lung ventilation both in rest and during exercise. A reduced alkaline reserve is known to occur in cases of chronic hyperventilation (65,66) and is also found in the blood of residents at high altitudes (49,67,68). As has been shown, such an explanation is contradicted in the case of the very young children by the position of all but two of their values in the acid-base diagram.…”

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Arterial Blood Gases and Acid-Base Balance in Normal Children 1

Cassels¹,

Morse²

1953

J. Clin. Invest.

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Robinson (1) studied the effect of age on the arterial blood gases and the acid-base balance of normal males from 5 to 91 years of age. In addition to the well known increase in oxygen combining capacity which occurs during childhood and adolescence, Robinson found moderately lower mean values for hemoglobin saturation in adults above 40 years of age, and slightly higher mean values for arterial CO2 content and CO2 tension in adults as compared with children. In the case of the alkaline reserve, mean values varied between 21.2 and 22.2 millimols per liter for all age groups except the youngest. Robinson found unusually low values of alkaline reserve in children 4 to 6 years of age. The present study was undertaken to supplement the work of Robinson in the years of childhood and adolescence, in order to establish more firmly the range of variation that may be expected in healthy children, and to provide a basis for the study of arterial blood gases and acid base balance in disease. MATERIALThe subjects of the study were drawn from three sources:1. Children of 10 years and younger were of both sexes. They had been carefully selected from patients at Bobs Roberts Memorial Hospital as representing physiologically normal states at the time the blood samples were drawn. Breakfast was withheld and the child was kept in bed until after the sample was taken.2. Subjects between 11 and 17 years of age were normal healthy boys 8 who came to the laboratory to participate in various tests for physical fitness. The results of most of these tests have been described earlier (2-5).

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Arterial Blood Gases and Acid-Base Balance in Normal Children 1

Cassels¹,

Morse²

1953

J. Clin. Invest.

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Regulation of the Treatment of Epilepsy by Synchronized Recording of Respiration and Brain Waves

Schwab¹

1941

Arch NeurPsych

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Chronic Psychogenic Hyperventilation

Guze¹

1952

Arch NeurPsych

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Acid-Base Balance of the Blood in a Patient With Hysterical Hyperventilation

Cited by 16 publications

References 16 publications

Arterial Blood Gases and Acid-Base Balance in Normal Children 1

Arterial Blood Gases and Acid-Base Balance in Normal Children 1

Regulation of the Treatment of Epilepsy by Synchronized Recording of Respiration and Brain Waves

Chronic Psychogenic Hyperventilation

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