Rafizadeh Sassan, Schenk Adam, Champion Emma, Julka Inderjeet
From the Department of Anesthesiology, Harbor-University of California, Los Angeles (UCLA) Medical Center, Los Angeles, California.
A A Pract. 2021 May 17;15(5):e01452. doi: 10.1213/XAA.0000000000001452.
Increased intra-abdominal pressure (IAP) following large abdominal surgeries can lead to postoperative complications, including wound dehiscence and surgical reoperation. Numerous factors can contribute to increased postoperative IAP, and intractable hiccups have been implicated as a culprit. Different treatment modalities have been widely used with variable success in addressing intractable hiccups. Here, we present a case in which postoperative hiccups leading to wound dehiscence and reoperation were successfully treated with an indwelling phrenic nerve catheter. Following placement, a significant reduction in hiccup severity and frequency was noted, improving the patient's quality of postoperative course and preventing further surgical intervention.
大型腹部手术后腹内压升高（IAP）可导致术后并发症，包括伤口裂开和再次手术。多种因素可导致术后IAP升高，顽固性呃逆被认为是一个原因。不同的治疗方式已被广泛用于治疗顽固性呃逆，但效果各异。在此，我们报告一例病例，一名患者术后因呃逆导致伤口裂开和再次手术，通过留置膈神经导管成功治愈。导管置入后，呃逆的严重程度和频率显著降低，改善了患者的术后病程质量，并避免了进一步的手术干预。
