Stine R J, Trued S J
JACEP. 1979 Sep;8(9):368-70. doi: 10.1016/s0361-1124(79)80261-0.
A patient with hiccups was found to have an abdominal aortic aneurysm that subsequently ruptured. We believe that a leaking abdominal aortic aneurysm led to an ileus-induced distention of the splenic flexure of the colon with consequent diaphragmatic irritation and phrenic nerve stimulation. This led to persistent hiccups as a result of repetitive stimulation of the reflex arc mediating hiccups. Persistent hiccups require investigation for an underlying organic etiology, and a leaking abdominal aortic aneurysm should be included in the differential diagnosis.
一名呃逆患者被发现患有腹主动脉瘤，随后该动脉瘤破裂。我们认为，腹主动脉瘤渗漏导致结肠脾曲因肠梗阻而扩张，进而刺激膈肌并刺激膈神经。由于介导呃逆的反射弧受到反复刺激，导致持续呃逆。持续性呃逆需要对潜在的器质性病因进行检查，腹主动脉瘤渗漏应列入鉴别诊断范围。
