Michard P, Marin I, Camberlein Y, Abiven M
Service de Pneumologie, Hôpital International de l'Université de Paris.
Ann Med Interne (Paris). 1990;141(4):313-8.
The development of palliative care is relatively new in France. This study analyzed our observations made in the Palliative Care unit of the Hopital International de l'Université de Paris. The most common complaints were: being bedridden (38%), pain (23%), dyspnea (10%), intestinal irregularities (10%). The importance of being bedridden and the complexity of its handling are emphasized. Dyspnea is common when sought (54%) and hard to alleviate due to a lack of appropriate symptomatic therapies. Reduced survival rates were found for patients with Karnovsky indexes below 30% and taking morphine. Length of survival varied as a function of awareness of the diagnosis and family support.
姑息治疗在法国的发展相对较新。本研究分析了我们在巴黎大学国际医院姑息治疗科的观察结果。最常见的主诉是：卧床不起（38%）、疼痛（23%）、呼吸困难（10%）、肠道功能紊乱（10%）。强调了卧床不起的重要性及其处理的复杂性。呼吸困难在被发现时很常见（54%），由于缺乏适当的对症治疗而难以缓解。卡诺夫斯基指数低于30%且服用吗啡的患者生存率降低。生存时间因对诊断的认知和家庭支持情况而异。
