EPISODE · Apr 9, 2026 · 12 MIN
呃逆全流程诊疗：从急症到顽固性
from 消化肝病前沿资讯
本期播客以临床案例切入，解析呃逆的分层、反射弧机制及多样病因——从胃肠、胸腔纵隔病变到药物、代谢、精神因素，强调超48小时需重视。系统介绍先无创后有创的干预原则，涵盖FISST、穴位按压等行为疗法，抑酸药、巴氯芬等药物精准选药，以及磁刺激、神经阻滞等进阶手段，帮医生建立清晰诊疗逻辑，避免漏诊踩坑。00:06案例引入与呃逆临床分层00:40呃逆反射弧机制解析02:00胃肠与胸纵隔病因盘点02:57药物与围手术期诱因03:55代谢与精神因素分析04:46FISST及替代行为疗法05:476种自主行为干预验证06:40抑酸药与中枢性用药选07:48加巴喷丁与氯丙嗪定位08:27难治性呃逆无创调控09:14迷走神经刺激与微创介入09:52神经阻滞风险与终极方案10:43诊疗思路之分层与排查11:26非药物干预与转诊原则12:09总结核心诊疗逻辑
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This episode was published on April 9, 2026.
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