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伴有胸腔积液的顽固性呃逆:胸腔内膈神经的可逆性夹闭

Intractable hiccup accompanying pleural effusion: reversible clipping of an intrathoracic phrenic nerve.

作者信息

Kim Jae Jun, Sa Young Jo, Cho Deog Gon, Kim Young Du, Kim Chi Kyung, Moon Seok Whan

机构信息

Department of Thoracic and Cardiovascular Surgery, St Paul Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

出版信息

Surg Laparosc Endosc Percutan Tech. 2013 Jun;23(3):357-9. doi: 10.1097/SLE.0b013e31828e3790.

DOI:10.1097/SLE.0b013e31828e3790
PMID:23752012
Abstract

Hiccup is usually a self-limiting condition, and can be treated with medications and physical maneuvers. However, hiccup episodes continuing for days or weeks can be incapacitating, and disturb work, sleep, and eating. Therefore, timely therapeutic intervention is needed to achieve early resolution of this treatable condition. We report on a successful phrenic nerve block for intractable hiccups, which consisted of thoracoscopic nerve clipping under general anesthesia and reversal under local anesthesia. This method has the advantage of assured diaphragmatic functional recovery while controlling intractable hiccups.

摘要

呃逆通常是一种自限性病症,可通过药物和物理手法进行治疗。然而,持续数天或数周的呃逆发作可能会使人丧失能力,并干扰工作、睡眠和饮食。因此,需要及时进行治疗干预,以便尽早解决这种可治疗的病症。我们报告了一例成功应用膈神经阻滞治疗顽固性呃逆的病例,该方法包括在全身麻醉下进行胸腔镜神经夹闭术,并在局部麻醉下进行逆转。这种方法在控制顽固性呃逆的同时,具有确保膈肌功能恢复的优势。

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Intractable hiccup accompanying pleural effusion: reversible clipping of an intrathoracic phrenic nerve.伴有胸腔积液的顽固性呃逆:胸腔内膈神经的可逆性夹闭
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引用本文的文献

1
Recurrent intractable hiccups treated by cervical phrenic nerve block under electromyography: report of a case.肌电图引导下颈段膈神经阻滞治疗复发性顽固性呃逆1例报告
Surg Today. 2015 Nov;45(11):1446-9. doi: 10.1007/s00595-014-1074-2. Epub 2014 Nov 14.
2
Effectiveness and safety of diagnostic flexi-rigid thoracoscopy in differentiating exudative pleural effusion of unknown etiology: a retrospective study of 215 patients.诊断性可弯曲硬性胸腔镜在鉴别不明病因渗出性胸腔积液中的有效性和安全性:215 例患者的回顾性研究。
J Thorac Dis. 2014 May;6(5):438-43. doi: 10.3978/j.issn.2072-1439.2014.02.09.