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一例由膈肌下肝囊肿增大引起的持续性呃逆病例。

A Case of Persistent Hiccups Induced by an Enlarging Hepatic Cyst Underneath the Diaphragm.

作者信息

Ando Wataru, Otsuka Yuki, Otsuka Fumio

机构信息

Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, JPN.

Center for Graduate Medical Education, Okayama University Hospital, Okayama, JPN.

出版信息

Cureus. 2024 Apr 14;16(4):e58278. doi: 10.7759/cureus.58278. eCollection 2024 Apr.

DOI:10.7759/cureus.58278
PMID:38752086
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11094411/
Abstract

Although hiccups are regularly self-limited and rarely life-threatening, prolonged hiccups are bothersome, which can significantly decrease the quality of life. Here, we report a case of persistent hiccups coexisting with an enlarging liver cyst situated just below the diaphragm in a patient with autosomal dominant polycystic kidney disease (ADPKD). No other underlying etiologies related to the symptoms were suspected. The cyst was difficult to drain surgically and the patient continued with symptomatic treatment. Although rare, hepatic cysts should be considered a potential cause of prolonged hiccups in patients with ADPKD. We emphasize the significance of systematically excluding potential etiologies that cause prolonged hiccups and considering appropriate therapeutic interventions.

摘要

尽管打嗝通常会自行缓解,很少危及生命,但持续性打嗝会令人烦恼,会显著降低生活质量。在此,我们报告一例常染色体显性多囊肾病(ADPKD)患者,其持续性打嗝与位于膈肌下方不断增大的肝囊肿并存。未怀疑有其他与症状相关的潜在病因。该囊肿手术引流困难,患者继续接受对症治疗。虽然罕见,但肝囊肿应被视为ADPKD患者持续性打嗝的潜在原因。我们强调系统排除导致持续性打嗝的潜在病因并考虑适当治疗干预措施的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a584/11094411/ef9a3747fc42/cureus-0016-00000058278-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a584/11094411/ef9a3747fc42/cureus-0016-00000058278-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a584/11094411/ef9a3747fc42/cureus-0016-00000058278-i01.jpg

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本文引用的文献

1
When hiccups mean something more than just a nuisance: A rare presentation of pyogenic liver abscess.当打嗝不仅仅是一种困扰时:化脓性肝脓肿的罕见表现。
JGH Open. 2021 Jun 22;5(7):837-838. doi: 10.1002/jgh3.12591. eCollection 2021 Jul.
2
Effect of Shakuyakukanzoto on Chemotherapy-Induced Hiccups in Patients with Lung Cancer.芍药甘草汤对肺癌患者化疗所致呃逆的影响。
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Perspectives on the Medical, Quality of Life, and Economic Consequences of Hiccups.
打嗝的医学、生活质量和经济后果的观点。
Curr Oncol Rep. 2019 Dec 19;21(12):113. doi: 10.1007/s11912-019-0857-4.
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Liver abscess presenting with persistent hiccups and right shoulder pain.以持续性呃逆和右肩疼痛为表现的肝脓肿。
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Tramadol-Induced Hiccups: A Report of Two Cases.曲马多诱发的呃逆:两例报告
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Management of hiccups in palliative care patients.姑息治疗患者呃逆的管理。
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Analysis of factors associated with hiccups based on the Japanese Adverse Drug Event Report database.基于日本药品不良事件报告数据库对与打嗝相关因素的分析。
PLoS One. 2017 Feb 14;12(2):e0172057. doi: 10.1371/journal.pone.0172057. eCollection 2017.
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Hiccups: a common problem with some unusual causes and cures.打嗝:一个有着一些不寻常病因及治疗方法的常见问题。
Br J Gen Pract. 2016 Nov;66(652):584–586. doi: 10.3399/bjgp16X687913.
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Systemic review: the pathogenesis and pharmacological treatment of hiccups.系统评价:呃逆的发病机制和药物治疗。
Aliment Pharmacol Ther. 2015 Nov;42(9):1037-50. doi: 10.1111/apt.13374. Epub 2015 Aug 25.
10
Treatment of hiccup by vagal maneuvers.通过迷走神经手法治疗呃逆。
J Hist Neurosci. 2015;24(2):123-36. doi: 10.1080/0964704X.2014.897133. Epub 2014 Jul 23.