Morita Shinichi, Sugitani Soichi, Kobayashi Yuka, Hara Hiroko, Nonaka Masaya, Fujiwara Shinichi, Hori Takashiro, Iiri Takao
Department of Gastroenterology, Tachikawa General Hospital.
Nihon Shokakibyo Gakkai Zasshi. 2007 Apr;104(4):573-8.
A 51-year-old female previously diagnosed as primary amyloidosis suffered from recurrent abdominal pain. The result of thorough examination indicated that the main cause of the pain was severe hepatomegaly. Continuous venous administration of narcotics and other alternative therapies did not provide symptomatic relief, and thus the patient was treated with celiac plexus block, which resulted in effective pain control and improved ADL level. Though the procedure of celiac plexus block is simple and celiac plexus block is applicable without causing severe complication, it is not widely used. From this case, it is considered that celiac plexus block is one of the most effective means to relieve intractable pain associated with both benign malady and abdominal malignant tumor.
一名51岁女性，先前被诊断为原发性淀粉样变性，反复出现腹痛。全面检查结果表明，疼痛的主要原因是严重肝肿大。持续静脉注射麻醉药及其他替代疗法均未能缓解症状，因此对该患者进行了腹腔神经丛阻滞治疗，结果疼痛得到有效控制，日常生活活动能力（ADL）水平有所改善。尽管腹腔神经丛阻滞操作简单，且应用时不会引起严重并发症，但并未得到广泛应用。从该病例来看，腹腔神经丛阻滞被认为是缓解与良性疾病及腹部恶性肿瘤相关的顽固性疼痛的最有效手段之一。
