INTRACTABLE HICCUP - ETIOLOGIC FACTORS IN 220 CASES
INTRACTABLE HICCUP - ETIOLOGIC FACTORS IN 220 CASES
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DOI：
10.1080/00325481.1968.11693139
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发表时间：
1968-01-01
影响因子：
4.2
通讯作者：
CAIN, JC
中科院分区：
文献类型：
--
作者：
SOUADJIAN, JV;CAIN, JC
持续性打嗝是罕见的。它可能是一个人身上一种或多种重要疾病的线索。以前，呃逆被认为是由一种疾病引起的，这种疾病导致了膈神经或高级中枢的异常刺激。下面的数据表明，在相当数量的患者中存在其他疾病可能表明同一患者出现呃逆的几个原因。在220例顽固性呃逆患者中，92%的女性患者有心理性呃逆，93%的男性患者有器质性疾病。在患有非手术器质性疾病的男性中，61%的人有额外的器质性疾病，每种疾病都能自行产生呃逆，26%的人有横隔疝，34%的人有动脉粥样硬化的证据。在横隔疝患者中，73%有其他疾病。
Persistent hiccup is rare. It can be a clue to one or more important diseases in the same individual. Previously hiccup was thought to be due to a single disease that produced an abnormal irritation of the phrenic nerve or of the higher centers. The following data suggest that the presence of other diseases in a significant number of patients may point to several causes of hiccup in the same patient. In 220 patients with intractable hiccup, 92% of female patients had psychogenic hiccup while 93% of the males had organic disease. Of the males with nonsurgical organic disease, 61% had additional organic disease or diseases, each capable of producing hiccup by itself, 26% had diaphragmatic hernia, and 34% had evidence of atherosclerosis. Of the patients with diaphragmatic hernia, 73% had other disease.