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呃逆是与膈肌有节律不随意运动有关的突然吸气声音。单纯的呃逆一般不会持续超过几分钟而认为是生理性的肌阵挛。慢性呃逆是由于“呃逆反射弧”的持续紊乱。以前的药物治疗包括抗惊厥药、强安定药、多巴胺拮抗剂、肌肉松弛剂、镇静剂、安眠药、三环抗抑郁药、麻醉药、GABA 促进剂。本文介绍顽固性呃逆使用心痛定的情况。病人和方法 7例存在持续或发作性呃逆,至少1周没有缓解。其中6例所用其它药物包括氯丙嗪、
Hiccups are sudden inspiratory sounds associated with rhythmic involuntary movement of the diaphragm. Simple hiccups generally do not persist for more than a few minutes and that is physiological myoclonus. Chronic hiccups are due to the ongoing disruption of the “hiccups”. Previous medical treatments include anticonvulsants, prednisolone, dopamine antagonists, muscle relaxants, sedatives, hypnotics, tricyclic antidepressants, anesthetics, and GABA boosters. This article describes the use of intractable hiccups determination of heart rate. Patients and Methods There were 7 cases of persistent or episodic hiccups, at least 1 week did not ease. Among the other drugs used in 6 cases were chlorpromazine,