$re = '/(^|[\.\?\!\-]\s|)([A-ZÃ-ÚÑ][^¿¡\!\?\.]+)((\.{3})?\?)/';
$str = 'Qué dices? Eso es...? No entiendo.
Adrian y Pedro lo saben? - SÃ, no lo sabÃas?';
$subst = "$1¿$2$3";
$result = preg_replace($re, $subst, $str);
echo "The result of the substitution is ".$result;
Please keep in mind that these code samples are automatically generated and are not guaranteed to work. If you find any syntax errors, feel free to submit a bug report. For a full regex reference for PHP, please visit: http://php.net/manual/en/ref.pcre.php