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星状神经节阻滞治疗持续性术后呃逆:三例报告

Treatment of persistent postoperative hiccups with stellate ganglion block: Three case reports.

作者信息

Lee A Ran, Cho Young Woo, Lee Jae Min, Shin Yong Joon, Han Il Sang, Lee Hyung Kwan

机构信息

Department of Anesthesiology and Pain Medicine, Ulsan University Hospital, Ulsan University, Republic of Korea.

出版信息

Medicine (Baltimore). 2018 Nov;97(48):e13370. doi: 10.1097/MD.0000000000013370.

DOI:10.1097/MD.0000000000013370
PMID:30508930
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6283092/
Abstract

RATIONALE

Although persistent postoperative hiccups can cause various problems (such as sleep disorders, depression, fatigue) for the patient, there has been little research on this topic. The purpose of this study is to determine the effectiveness of treating persistent postoperative hiccups with a stellate ganglion block (SGB), an injection of local anesthetic in the sympathetic nerve tissue of the neck.

PATIENT CONCERNS AND DIAGNOSES

Three patients each developed persistent hiccups within 3 days of abdominal surgery, lasting for 3 to 6 days. The patients were diagnosed as having persistent hiccups based on the hiccup duration.

INTERVENTIONS AND OUTCOMES

The 3 patients were treated with an SGB. After the procedure, the frequency and intensity of hiccups decreased and then the hiccups stopped completely.

CONCLUSION

An SGB is an effective method that can be considered in conjunction with other treatments for persistent hiccups. Clinicians should be mindful of the negative effects that persistent hiccups can exert on patients.

摘要

理论依据

尽管术后持续性呃逆会给患者带来各种问题(如睡眠障碍、抑郁、疲劳),但关于这一主题的研究很少。本研究的目的是确定星状神经节阻滞(SGB)治疗术后持续性呃逆的有效性,即在颈部交感神经组织中注射局部麻醉剂。

患者情况与诊断

三名患者均在腹部手术后3天内出现持续性呃逆,持续3至6天。根据呃逆持续时间,这些患者被诊断为持续性呃逆。

干预措施与结果

这三名患者接受了星状神经节阻滞治疗。治疗后,呃逆的频率和强度降低,随后呃逆完全停止。

结论

星状神经节阻滞是一种有效的方法,可与其他治疗持续性呃逆的方法联合使用。临床医生应注意持续性呃逆对患者可能产生的负面影响。

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