Hiccups are involuntary spasms of the diaphragm with closure of the glottis. This involves a complex neural pathway which includes the phrenic, vagus and the sympathetic pathways, it is usually self-limiting and resol...Hiccups are involuntary spasms of the diaphragm with closure of the glottis. This involves a complex neural pathway which includes the phrenic, vagus and the sympathetic pathways, it is usually self-limiting and resolves within a few minutes after onset. Hiccups are described as chronic when it lasts more than 48 hours and intractable when it persists for more than a month. Intractable hiccups are said to have an organic cause in 80% of cases and the remaining 20% psychogenic in origin, Some of the organic causes of intractable hiccups include: liver cancer, adrenal tumours, and kidney tumours. We present a case of right renal cell carcinoma which presented as intractable hiccups and was successfully managed by performing a radical right nephrectomy.展开更多
Background: Hiccups, also known as Singletus, can be a cause of worry and anxiety for most patients when persistent. It has long been associated with various infectious pathologies. Its association with SARS-COV-19 is...Background: Hiccups, also known as Singletus, can be a cause of worry and anxiety for most patients when persistent. It has long been associated with various infectious pathologies. Its association with SARS-COV-19 is relatively new with only a few cases reported so far. This case report highlights a unique presentation of Covid pneumonitis as intractable hiccups as the only symptom. With adequate laboratory and instrumental investigations, the aetiology was found to be Covid pneumonitis. Once the cause was detected and treatment initiated, the symptoms subsided. Conclusion: While hiccup can be a sign of various underlying chronic illnesses, its association with Covid-19 is relatively new with very few literatures reporting this finding. It is very crucial for clinicians to keep a high index of suspicion in patients presenting with hiccups.展开更多
目的探索耳穴贴压治疗顽固性呃逆的选穴配伍规律,为顽固性呃逆患者耳穴贴压治疗提供参考。方法计算机检索建库至2023年8月18日中国生物医学文献数据库、中国知网、万方数据库、维普数据库、PubMed及Web of Science中有关耳穴贴压治疗顽...目的探索耳穴贴压治疗顽固性呃逆的选穴配伍规律,为顽固性呃逆患者耳穴贴压治疗提供参考。方法计算机检索建库至2023年8月18日中国生物医学文献数据库、中国知网、万方数据库、维普数据库、PubMed及Web of Science中有关耳穴贴压治疗顽固性呃逆的文献,对文献中的耳穴数据进行描述性分析及关联分析。结果最终纳入文献75篇,顽固性呃逆分型以周围性呃逆(54.17%)及中枢性呃逆(40.28%)多见。耳穴贴压治疗涉及耳穴28个、频次420次,其中最常用耳穴为耳中穴(16.67%)、胃穴(16.19%)、神门穴(14.52%)、交感穴(12.14%)。耳穴贴压治疗顽固性呃逆的常用配伍耳穴为耳中-皮质下-交感-神门-胃、耳中-交感-神门-胃、耳中-神门-胃、胃-耳中等。结论耳穴贴压治疗顽固性呃逆选穴遵循以传统医学与现代医学互参为主,结合脏腑辨证、随病因加减配穴为辅的方法,可作为临床护理人员选穴参照。展开更多
文摘Hiccups are involuntary spasms of the diaphragm with closure of the glottis. This involves a complex neural pathway which includes the phrenic, vagus and the sympathetic pathways, it is usually self-limiting and resolves within a few minutes after onset. Hiccups are described as chronic when it lasts more than 48 hours and intractable when it persists for more than a month. Intractable hiccups are said to have an organic cause in 80% of cases and the remaining 20% psychogenic in origin, Some of the organic causes of intractable hiccups include: liver cancer, adrenal tumours, and kidney tumours. We present a case of right renal cell carcinoma which presented as intractable hiccups and was successfully managed by performing a radical right nephrectomy.
文摘Background: Hiccups, also known as Singletus, can be a cause of worry and anxiety for most patients when persistent. It has long been associated with various infectious pathologies. Its association with SARS-COV-19 is relatively new with only a few cases reported so far. This case report highlights a unique presentation of Covid pneumonitis as intractable hiccups as the only symptom. With adequate laboratory and instrumental investigations, the aetiology was found to be Covid pneumonitis. Once the cause was detected and treatment initiated, the symptoms subsided. Conclusion: While hiccup can be a sign of various underlying chronic illnesses, its association with Covid-19 is relatively new with very few literatures reporting this finding. It is very crucial for clinicians to keep a high index of suspicion in patients presenting with hiccups.
文摘目的探索耳穴贴压治疗顽固性呃逆的选穴配伍规律,为顽固性呃逆患者耳穴贴压治疗提供参考。方法计算机检索建库至2023年8月18日中国生物医学文献数据库、中国知网、万方数据库、维普数据库、PubMed及Web of Science中有关耳穴贴压治疗顽固性呃逆的文献,对文献中的耳穴数据进行描述性分析及关联分析。结果最终纳入文献75篇,顽固性呃逆分型以周围性呃逆(54.17%)及中枢性呃逆(40.28%)多见。耳穴贴压治疗涉及耳穴28个、频次420次,其中最常用耳穴为耳中穴(16.67%)、胃穴(16.19%)、神门穴(14.52%)、交感穴(12.14%)。耳穴贴压治疗顽固性呃逆的常用配伍耳穴为耳中-皮质下-交感-神门-胃、耳中-交感-神门-胃、耳中-神门-胃、胃-耳中等。结论耳穴贴压治疗顽固性呃逆选穴遵循以传统医学与现代医学互参为主,结合脏腑辨证、随病因加减配穴为辅的方法,可作为临床护理人员选穴参照。
