Gardecki Jeffrey, Espinosa James, Lucerna Alan, Bernhardt Jarrid
Department of Emergency Medicine, Rowan University SOM Kennedy University Hospital, Stratford, NJ, USA.
Department of Emergency Medicine, Rowan University SOM Kennedy University Hospital, Stratford, NJ, USA.
Am J Emerg Med. 2017 Jun;35(6):938.e1-938.e3. doi: 10.1016/j.ajem.2016.12.056. Epub 2016 Dec 23.
Hiccups (singultus) is often a benign, common and self- limited condition. A case of profound electrolyte disturbances presenting with chief complaint of hiccups is presented in which chlorpromazine was not administered and could have been problematic had it been given. For those who present to the ED with chief complaint of hiccups, it is critical to consider a life threatening etiology as the cause of their symptom. This case presents a potential pitfall in the management of singultus.
呃逆（膈肌痉挛）通常是一种良性、常见且自限性的病症。本文报告了一例以呃逆为主诉的严重电解质紊乱病例，该病例未使用氯丙嗪，若使用可能会出现问题。对于那些以呃逆为主诉就诊于急诊科的患者，将危及生命的病因视为其症状的原因至关重要。该病例展示了呃逆治疗中一个潜在的陷阱。
