Odeh M, Bassan H, Oliven A
Department of Inernal Medicine, Bnai Zion Medical Center, Haifa, Israel.
J Intern Med. 1990 Feb;227(2):145-6. doi: 10.1111/j.1365-2796.1990.tb00134.x.
A 60-year-old man with acute pancreatitis developed persistent hiccups after insertion of a nasogastric tube. Removal of the latter did not terminate the hiccups which had also been treated with different drugs, and several manoeuvres were attempted, but with no success. Digital rectal massage was then performed resulting in abrupt cessation of the hiccups. Recurrence of the hiccups occurred several hours later, and again, they were terminated immediately with digital rectal massage. No other recurrences were observed. This is the second reported case associating cessation of intractable hiccups with digital rectal massage. We suggest that this manoeuvre should be considered in cases of intractable hiccups before proceeding with pharmacological agents.
一名60岁的急性胰腺炎男性患者在插入鼻胃管后出现持续性呃逆。拔除鼻胃管后呃逆并未停止，患者还接受了多种药物治疗，并尝试了多种方法，但均未成功。随后进行了直肠指检按摩，呃逆突然停止。数小时后呃逆复发，再次通过直肠指检按摩使其立即停止。未观察到其他复发情况。这是第二例报道的将顽固性呃逆停止与直肠指检按摩相关联的病例。我们建议，在使用药物治疗之前，对于顽固性呃逆病例应考虑采用这种方法。
