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反复打嗝可能预示着脑干病变,应进行调查。

Recurrent hiccups may signal brainstem pathology and should be investigated.

作者信息

Shastin Dmitri, Nidamanuri Priya, Nannapaneni Ravindra

机构信息

School of Postgraduate Medical and Dental Education, Cardiff University, Cardiff, UK.

Department of Neurosurgery, University Hospital of Wales, Cardiff, UK.

出版信息

BMJ Case Rep. 2018 Jan 17;2018:bcr-2017-222926. doi: 10.1136/bcr-2017-222926.

DOI:10.1136/bcr-2017-222926
PMID:29348287
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5778230/
Abstract

While occasional hiccups are normal, their persistent recurrence is distressing and may have an underlying aetiology. Patients with recurrent hiccups may undergo a long journey and see many physicians before the diagnosis is finally made. The purpose of this report is to increase awareness of central nervous system lesions as a possible cause for recurrent hiccups and provide an illustrative case of an otherwise fit man presenting with ongoing hiccups caused by a medullary haemangioblastoma.

摘要

虽然偶尔打嗝是正常现象,但持续反复打嗝令人苦恼,且可能有潜在病因。反复打嗝的患者可能要经历漫长过程,看很多医生才能最终确诊。本报告的目的是提高对中枢神经系统病变可能是反复打嗝原因的认识,并提供一个例证病例,即一名原本健康的男子因延髓血管母细胞瘤而持续打嗝。

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本文引用的文献

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Persistent hiccups followed by acute respiratory failure.
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Systemic review: the pathogenesis and pharmacological treatment of hiccups.系统评价:呃逆的发病机制和药物治疗。
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Intractable hiccups resolved after resection of a cavernous malformation of the medulla oblongata.延髓海绵状血管畸形切除术后顽固性呃逆得以缓解。
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Hiccups due to central nervous system disease: analysis of 71 inpatients.中枢神经系统疾病所致呃逆:71例住院患者分析
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Intractable hiccup caused by medulla oblongata lesions: a study of an autopsy patient with possible neuromyelitis optica.延髓病变导致的顽固性呃逆:一例可能的视神经脊髓炎尸检患者研究。
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J Neurosurg. 2004 Jun;100(6):1107-10. doi: 10.3171/jns.2004.100.6.1107.
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Persistent hiccups.持续性呃逆
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