Department of Emergency Medicine, Faculty of Medicine, Ataturk University, Erzurum, Turkey.
Department of Emergency Medicine, Bingol State Hospital, Bingol, Turkey.
Am J Emerg Med. 2020 Sep;38(9):1935-1937. doi: 10.1016/j.ajem.2020.03.044. Epub 2020 Mar 25.
Hiccup is a condition caused by involuntary contraction of inspiratory muscles, especially the diaphragm. Although it is generally considered as a physiological. response, if hiccup persists for a long time, it can lead to many undesirable conditions such as depression, weight loss, insomnia, and fatigue. A 35-year-old male patient was admitted to our emergency department with hiccup lasting for 15 h. He had a history of several hiccup attacks. Classical non-pharmacological and pharmacological therapies were used to treat the condition without any response. As an alternative method, an intradermal injection was applied. A mixture of thiocolchicoside and lidocaine was administered intradermally to a depth of 1-3 mm at the epigastric region and adjacent to the sternocleidomastoid muscle. The patient's hiccup ended after the intradermal injection procedure. During 48 h of follow-up the hiccup attack did not develop again. No complications related to the process were detected. This is the first case in the literature demonstrating the use of intradermal injection to terminate hiccups. The intradermal injection approach can be administered in cases of hiccups that do not respond to medical treatment.
呃逆是一种由吸气肌（特别是膈肌）不自主收缩引起的病症。尽管通常认为这是一种生理反应，但如果呃逆持续时间过长，可能会导致许多不良状况，如抑郁、体重减轻、失眠和疲劳。一名 35 岁男性患者因呃逆持续 15 小时而被收入我院急诊部。他有过数次呃逆发作史。采用了经典的非药物和药物疗法来治疗该病症，但均无反应。作为替代方法，采用了皮内注射。在剑突和胸锁乳突肌附近的上腹部区域，将噻可多昔康和利多卡因的混合物以 1-3 毫米的深度皮内注射。皮内注射后，患者的呃逆停止。在 48 小时的随访中，未再次发生呃逆发作。未发现与该过程相关的并发症。这是文献中首例证明皮内注射可终止呃逆的案例。对于对药物治疗无反应的呃逆，可以采用皮内注射方法。
