1病历摘要男,71岁。因胸闷、心悸5 a,加重伴呼吸困难1 d,以冠心病、心房颤动、心功能Ⅳ级(NYHA分级)于2009-02-27住院。经正规强心、利尿、扩血管治疗9 d,效果不佳,遂启用多巴酚丁胺,以3.0μg/(kg·min)速度持续静脉泵入,约20 min后患者出现呃逆,给予刺激咽后壁、瓦氏动作及药物穴位注射、针灸等治疗。呃逆仍未控制,4 d后因呼吸困难减轻而停用多巴酚丁胺 1 medical record summary male, 71 years old. Due to chest tightness, palpitations 5 a, aggravated with dyspnea 1 d, coronary heart disease, atrial fibrillation, cardiac function grade Ⅳ (NYHA classification) in 2009-02-27 hospitalization. After regular cardiac, diuretic and vasodilator therapy for 9 days, the effect was not good. Dobutamine was then started and pumped intravenously at a rate of 3.0μg / (kg · min). Hiccup was induced in about 20 minutes and stimulated Pharynx posterior wall, Valsalva action and drug injection, acupuncture and other treatment. Hiccup has not yet been controlled, and after 4 days, dobutamine was discontinued due to reduced dyspnea