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COVID-19 以持续性呃逆为表现:一例报告。

COVID-19 presenting as persistent hiccups: a case report.

机构信息

Hospital Doutor Arnaldo Pezzuti Cavalcanti, Departamento de Medicina Intensiva, Mogi das Cruzes, São Paulo, Brazil.

Universidade de Mogi das Cruzes, Mogi das Cruzes, São Paulo, Brazil.

出版信息

Rev Inst Med Trop Sao Paulo. 2021 Aug 6;63:e62. doi: 10.1590/S1678-9946202163062. eCollection 2021.

Abstract

Hiccups are involuntary, spasmodic contractions of the diaphragm and intercostal muscles and can be classified as acute (< 48 h), persistent (48 h to a month) or intractable (> 1 month). A previously healthy 29-year-old man sought the Emergency Department with flu-like symptoms and a two-day history of persistent hiccups. His physical examination was otherwise unremarkable and vital signs were within normal limits. An unenhanced computed tomography scan of the chest showed small focal ground-glass opacities scattered throughout 25% of the lungs. A COVID-19 test was positive. Chlorpromazine was prescribed for the hiccups with improvement over 10 h. The patient was discharged home on the same day without hiccups and no other complications.

摘要

呃逆是一种膈肌和肋间肌不自主的痉挛性收缩,可以分为急性(< 48 小时)、持续性(48 小时至一个月)或难治性(> 1 个月)。一名既往健康的 29 岁男子因流感样症状和持续两天的呃逆到急诊科就诊。他的体格检查无其他异常,生命体征在正常范围内。胸部未增强 CT 扫描显示肺部 25%的区域有散在的小结节状磨玻璃影。COVID-19 检测呈阳性。给予氯丙嗪治疗呃逆,10 小时后症状改善。患者当天无呃逆且无其他并发症出院回家。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fed4/8357301/2fdb34e15b26/1678-9946-rimtsp-63-S1678-9946202163062-gf01.jpg

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