颈椎硬膜外类固醇注射后持续性呃逆
Persistent Hiccups After Cervical Epidural Steroid Injection.
作者信息
Abubaker Ahmad Khaled, Rabadi Daher K, Kassab Manal, Al-Qudah Mohannad A
机构信息
Department of Anesthesia and Recovery, Faculty of Medicine, Jordan University of Science and Technology (JUST), Irbid, Jordan.
Department of Maternal and Child Health, Faculty of Nursing, Jordan University of Science and Technology (JUST), Irbid, Jordan.
出版信息
Am J Case Rep. 2018 Apr 4;19:397-399. doi: 10.12659/ajcr.908536.
BACKGROUND Hiccup is a rare complication after a cervical epidural steroid injection used in the treatment of chronic pain. A few studies have reported on the physiological and pharmacological aspects of hiccups after epidural steroid injection and there have been some case reports published. Our presented case report provides insight into the side effect of hiccups that can occur in association with cervical epidural analgesia, and will help inform anesthesiologist about this unpleasant complication. CASE REPORT We present a rare case of persistent hiccups after a cervical epidural steroid injection in a 60-year-old male patient with chronic pain due to disc protrusion in C3-C7. CONCLUSIONS Persistent hiccups after epidural injection is a serious complication. As the exact mechanism of hiccups is not yet known, regardless the level of epidural or the mixture of drugs used, and the incident of hiccups after epidural injection is not well-reported, we think that the etiology and the incident rate must be further evaluated.
背景
呃逆是用于治疗慢性疼痛的颈椎硬膜外类固醇注射后的一种罕见并发症。少数研究报告了硬膜外类固醇注射后呃逆的生理和药理学方面，并且已经发表了一些病例报告。我们呈现的病例报告深入探讨了与颈椎硬膜外镇痛相关的呃逆副作用，并将有助于告知麻醉医生这种令人不适的并发症。病例报告：我们报告一例罕见病例，一名60岁男性患者因C3 - C7椎间盘突出导致慢性疼痛，在颈椎硬膜外类固醇注射后出现持续性呃逆。结论：硬膜外注射后持续性呃逆是一种严重并发症。由于呃逆的确切机制尚不清楚，无论硬膜外的水平或使用的药物混合物如何，且硬膜外注射后呃逆的发生率报道不佳，我们认为病因和发生率必须进一步评估。
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