Marai Ibrahim, Levi Yair
Department of Medicine B, Sheba Medical Center, Tel Hashomer.
Harefuah. 2003 Jan;142(1):10-3, 79.
Hiccup is a sudden contraction of the inspiratory muscles, followed by an abrupt closure of the glottis, thus producing a characteristic sound. Hiccups serve no known physiologic function. Mostly, it is a benign symptom which terminates without treatment. Persistent and intractable hiccups may indicate an organic disorder, thereby requiring evaluation based on history, physical examination, and selected laboratory tests. The treatment is based on the organic disorder, if it is found. The combination therapy with cisapride, omeprazole and baclofen is the most effective empiric treatment. We describe a number of case reports of patients with hiccups due to digitalis intoxication, ischemia of the inferior wall of the heart, peptic disease and gastroesophageal reflux disease.
打嗝是吸气肌肉的突然收缩，随后声门突然关闭，从而产生一种特征性声音。打嗝没有已知的生理功能。大多数情况下，它是一种良性症状，无需治疗即可终止。持续性和顽固性打嗝可能表明存在器质性疾病，因此需要根据病史、体格检查和选定的实验室检查进行评估。如果发现有器质性疾病，则根据该疾病进行治疗。西沙必利、奥美拉唑和巴氯芬联合治疗是最有效的经验性治疗方法。我们描述了一些因洋地黄中毒、下壁心肌缺血、消化系统疾病和胃食管反流病导致打嗝的病例报告。
