Schreiber L R, Bowen M R, Mino F A, Craig T J
Department of Family Practice, Naval Hospital, Charleston, SC 92278.
South Med J. 1995 Feb;88(2):217-9. doi: 10.1097/00007611-199502000-00009.
Hiccups (singultus) are most often a transient phenomenon that resolves without medical therapy. Intractable hiccups can be an indication of a serious underlying disease process and should be investigated. To demonstrate the evaluation of intractable singultus, we describe a patient who had unsuccessful outpatient therapy for persistent hiccups and who was subsequently found to have gastroesophageal reflux (GER). Efforts to determine the cause of the hiccups were negative except for endoscopically proven GER. On follow-up visits, antisingultus medications were withdrawn without return of hiccups, and repeat endoscopy showed substantial healing of the esophagitis. We conclude that GER may be underestimated as a cause of hiccups.
打嗝（呃逆）通常是一种短暂现象，无需医学治疗即可自行缓解。顽固性打嗝可能预示着严重的潜在疾病进程，应进行调查。为了阐述对顽固性呃逆的评估，我们描述了一名患者，其持续性打嗝的门诊治疗未成功，随后被发现患有胃食管反流（GER）。除了经内镜证实的GER外，确定打嗝原因的各项检查均为阴性。在随访中，停用了止嗝药物，打嗝未再复发，再次内镜检查显示食管炎有明显愈合。我们得出结论，GER作为打嗝的一个原因可能被低估了。
