中枢顽固性呃逆的病因及其治疗进展

Etiological and Therapeutic Progresses of Central Intractable Hiccup

临床上将呃逆发作持续48h以上者,称为顽固性呃逆。中枢顽固性呃逆如不及时治疗,不仅明显地降低患者的生活质量,严重者还影响正常呼吸功能,使气体交换异常,可引起脑缺氧,使脑水肿加重,使病情进一步恶化,甚至导致患者死亡。中枢顽固性呃逆的治疗方法很多:在治疗中枢原发病的同时,有药物治疗(西药、中药)、针灸、神经阻滞以及手术治疗等,现对中枢顽固性呃逆的病因及其治疗进行综述。

Intractable Hiccup in clinic describes a condition that attacking of hiccup lasts for more than 48 hours. If the central intractable hiccup can not be cured in time, it will decrease the patients＇ quality of life obviously, affect the normal respiratory function heavily, and then result in abnormal gas exchanges, which will result in cerebral anoxia, aggravation of cerebral edema, deterioration of pathogenetic condition, and even death. There are lots of therapies for the central intractable hiccup, such as, medication （including western medicine and Traditional Chinese Medicine）, acupuncture, nerve block, operation and so on. This article reviews etiological and therapeutic progrcss of on central intractable hiccup.