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顽固性呃逆的治疗

Management of intractable hiccup.

作者信息

Williamson B W, MacIntyre I M

出版信息

Br Med J. 1977 Aug 20;2(6085):501-3. doi: 10.1136/bmj.2.6085.501.

DOI:10.1136/bmj.2.6085.501
PMID:890370
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1630917/
Abstract

A patient who developed hiccups after laparotomy was treated with numerous drugs with limited success. A left phrenic nerve crush was eventually successful. A review of published work showed that the drugs most likely to succeed were chlorpromazine and metoclopramide, and that phrenic nerve injection and crush should be considered if these failed.

摘要

一名剖腹手术后出现呃逆的患者接受了多种药物治疗,但效果有限。最终,左侧膈神经挤压术取得了成功。对已发表文献的回顾表明,最有可能成功的药物是氯丙嗪和甲氧氯普胺,如果这些药物治疗失败,应考虑膈神经注射和挤压术。

相似文献

1
Management of intractable hiccup.顽固性呃逆的治疗
Br Med J. 1977 Aug 20;2(6085):501-3. doi: 10.1136/bmj.2.6085.501.
2
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。
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3
Ultrasound-Guided Phrenic Nerve Block for Intractable Hiccups following Placement of Esophageal Stent for Esophageal Squamous Cell Carcinoma.超声引导下膈神经阻滞治疗食管鳞状细胞癌食管支架置入术后顽固性呃逆
Pain Physician. 2016 May;19(4):E653-6.
4
Hiccups: a treatment review.呃逆:一项治疗综述。
Pharmacotherapy. 1996 Nov-Dec;16(6):986-95.
5
Recurrent intractable hiccups treated by cervical phrenic nerve block under electromyography: report of a case.肌电图引导下颈段膈神经阻滞治疗复发性顽固性呃逆1例报告
Surg Today. 2015 Nov;45(11):1446-9. doi: 10.1007/s00595-014-1074-2. Epub 2014 Nov 14.
6
Hiccups. Attitude in Otorhinolaryngology Towards Consulting Patients. A Diagnostic and Therapeutic Approach.呃逆。耳鼻咽喉科对咨询患者的态度。一种诊断和治疗方法。
Acta Otorrinolaringol Esp. 2017 Mar-Apr;68(2):98-105. doi: 10.1016/j.otorri.2016.05.005. Epub 2016 Aug 16.
7
Hiccups: causes and cures.打嗝:成因与治疗方法
J Clin Gastroenterol. 1985 Dec;7(6):539-52. doi: 10.1097/00004836-198512000-00021.
8
Phrenic nerve block combined with stellate ganglion block for postoperative intractable hiccups: a case report.膈神经阻滞联合星状神经节阻滞治疗术后顽固性呃逆:病例报告。
J Int Med Res. 2023 Aug;51(8):3000605231197069. doi: 10.1177/03000605231197069.
9
Successful termination of persistent hiccups via combined ultrasound and nerve stimulator-guided singular phrenic nerve block: a case report and literature review.超声联合神经刺激器引导膈神经单点阻滞成功终止持续性呃逆:病例报告及文献复习。
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Intractable hiccup accompanying pleural effusion: reversible clipping of an intrathoracic phrenic nerve.伴有胸腔积液的顽固性呃逆:胸腔内膈神经的可逆性夹闭
Surg Laparosc Endosc Percutan Tech. 2013 Jun;23(3):357-9. doi: 10.1097/SLE.0b013e31828e3790.

引用本文的文献

1
Interventions for Hiccups in Adults: A Scoping Review of Western and Eastern Approaches.成人打嗝的干预措施:东西方方法的范围综述
Palliat Med Rep. 2025 Apr 17;6(1):171-178. doi: 10.1089/pmr.2024.0109. eCollection 2025.
2
Phenothiazines and their Evolving Roles in Clinical Practice: A Narrative Review.吩噻嗪类药物及其在临床实践中的角色演变:一篇叙述性综述。
Health Psychol Res. 2022 Nov 3;10(4):38930. doi: 10.52965/001c.38930. eCollection 2022.
3
Intractable Hiccups.顽固性呃逆。
Curr Neurol Neurosci Rep. 2018 Jun 22;18(8):51. doi: 10.1007/s11910-018-0856-0.
4
Management of intraoperative hiccups with intravenous promethazine.静脉注射异丙嗪治疗术中呃逆
J Anaesthesiol Clin Pharmacol. 2013 Oct;29(4):561-2. doi: 10.4103/0970-9185.119131.
5
Peritoneal sarcoidosis: a unique cause of ascites and intractable hiccups.腹膜结节病:腹水和顽固性呃逆的独特病因。
Gastroenterol Hepatol (N Y). 2009 Dec;5(12):859-61.
6
Hiccups and gastroesophageal reflux: cause and effect?打嗝与胃食管反流:因果关系?
Dig Dis Sci. 1989 Aug;34(8):1277-80. doi: 10.1007/BF01537278.
7
Persistent hiccups.持续性呃逆
BMJ. 1992 Nov 21;305(6864):1237-8. doi: 10.1136/bmj.305.6864.1237.
8
Hiccup and ephedrine.呃逆与麻黄碱。
Can Anaesth Soc J. 1978 Sep;25(5):431-2. doi: 10.1007/BF03006576.

本文引用的文献

1
[Chlorpromazine in the treatment of stubborn hiccup].[氯丙嗪治疗顽固性呃逆]
Union Med Can. 1955 Mar;84(3):282-4.
2
TWO CASES OF PERSISTENT HICCUP TREATED WITH ORPHENADRINE CITRATE.两例用枸橼酸奥芬那君治疗持续性呃逆的病例。
Practitioner. 1963 Nov;191:646.
3
Hypnosis in the termination of hiccups unresponsive to conventional treatment.催眠用于治疗对传统治疗无反应的打嗝。
Arch Intern Med. 1959 Sep;104:417-20. doi: 10.1001/archinte.1959.00270090071012.
4
Hiccup: its possible cause and treatment in anesthesia.
Anesth Analg. 1961 Mar-Apr;40:181-5.
5
Phrenic nerve traction for persistent hiccough (singultus); a preliminary report.膈神经牵拉治疗持续性呃逆(打嗝):初步报告。
AMA Arch Surg. 1955 Dec;71(6):927-8. doi: 10.1001/archsurg.1955.01270180133019.
6
Chlorpromazine (thorazine) in the treatment of intractable hiccups.氯丙嗪(冬眠灵)治疗顽固性呃逆
J Am Med Assoc. 1955 Jan 22;157(4):309-10. doi: 10.1001/jama.1955.02950210005002.
7
Hiccup; a ten year review of anatomy, etiology, and treatment.呃逆:解剖学、病因学及治疗的十年回顾
Can Med Assoc J. 1952 Oct;67(4):315-22.
8
Treatment of hiccups.呃逆的治疗
J Am Med Assoc. 1952 Oct 25;150(8):760-4. doi: 10.1001/jama.1952.03680080022004.
9
Postoperative use of hypnosis on a cardiovascular service. Termination of persistent hiccups in a patient with an aortorenal graft.心血管科术后使用催眠疗法。一例主动脉肾动脉移植患者持续性呃逆的终止。
JAMA. 1966 Aug 1;197(5):371-2.
10
Methylphenidate for the treatment of hiccups during anesthesia.用于治疗麻醉期间呃逆的哌甲酯。
Anesthesiology. 1969 Jul;31(1):89-90. doi: 10.1097/00000542-196907000-00027.