PERSISTENT POSTOPERATIVE HICCUPS - A REVIEW

被引：28
作者：
HANSEN, BJ [1 ]
ROSENBERG, J [1 ]
机构：
[1] HVIDOVRE UNIV HOSP, DEPT SURG GASTROENTEROL 235, DK-2650 HVIDOVRE, DENMARK
来源：
ACTA ANAESTHESIOLOGICA SCANDINAVICA | 1993年 / 37卷 / 07期
关键词：
DIAPHRAGM; HICCUPS; MORBIDITY; NASOGASTRIC TUBE; PHRENIC; POSTOPERATIVE; SURGERY;
D O I：
10.1111/j.1399-6576.1993.tb03781.x
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
The pathogenesis of persistent postoperative hiccups is not known. Hiccups can present as a symptom of a subphrenic abscess or gastric distention, and metabolic alterations may also cause hiccups. The hiccups may develop because of increased activity in neural reflex pathways not yet fully defined. Numerous treatment modalities have been tried but with questionable success. Valproat has proven effective in two trials investigating persistent non-surgical hiccups. The simple application of a nasogastric tube may successfully treat the hiccups, possibly because of an alteration of the activity in the reflex neural pathways involved. The available literature on the treatment of persistent hiccups is reviewed, and a treatment protocol for persistent postoperative hiccups is provided.
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页码：643 / 646
页数：4
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