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目的 探讨顽固性呃逆的有效治疗途径。方法 用１ ％ 利多卡因８ ～１０ ｍＬ，双侧同时或交替阻滞膈神经，治疗顽固性呃逆并进行疗效观察。结果 双侧同时阻滞１３ 例中，一次治愈１２ 例，１ 例阻滞２ 次治愈。双侧交替阻滞７ 例中５ 例阻滞４ 次治愈，另２ 例分别阻滞５～７ 次治愈。全组无并发症发生。１５ 例随访２ ～１２ 个月，仅２ 例呃逆复发。结论 膈神经阻滞治疗顽固性呃逆是一种安全有效、操作简便、容易推广的治疗方法。以双侧同时阻滞疗效较佳。
Objective To explore the effective treatment of refractory hiccups. Methods 1% lidocaine 8 ~ 10 mL, both sides of the phrenic nerve at the same time or alternately, the treatment of intractable hiccups and observed the effect. Results Bilateral simultaneous block in 13 cases, the first cure in 12 cases, one case of block 2 times cure. Bilateral alternating block in 7 cases, 5 cases were blocked 4 times cured, the other 2 cases were blocked 5 to 7 times cured. No complications occurred in the whole group. Fifteen patients were followed up for 2 to 12 months, with only two cases of hiccup recurrence. Conclusion Phrenic nerve block treatment of refractory hiccups is a safe and effective, easy to operate, easy to promote the treatment. Both sides of the block better efficacy.