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小儿烧伤的疼痛控制——患者自控镇痛的应用

Pain control in paediatric burns--the use of patient-controlled analgesia.

作者信息

Gaukroger P B, Chapman M J, Davey R B

机构信息

Adelaide Children's Hospital, South Australia.

出版信息

Burns. 1991 Oct;17(5):396-9. doi: 10.1016/s0305-4179(05)80073-7.

DOI:10.1016/s0305-4179(05)80073-7
PMID:1760109
Abstract

Eleven children received patient-controlled analgesia (PCA) for the management of severe burn pain, their ages ranged from 4.75 to 14 years. Periods of PCA ranged from 2 to 131 days. Three patients developed evidence of tolerance as shown by high dose requirements, but the patients weaned themselves rapidly when pain levels fell. We conclude that PCA provides good quality analgesia to school-age children requiring debridement and grafting for burns. Its use simplified one major aspect of the management of these children.

摘要

11名儿童接受了患者自控镇痛(PCA)以管理严重烧伤疼痛,他们的年龄在4.75岁至14岁之间。PCA治疗时间为2至131天。3名患者出现了耐受性证据,表现为需要高剂量药物,但当疼痛程度降低时,这些患者迅速减少了用药量。我们得出结论,PCA为需要进行烧伤清创和植皮的学龄儿童提供了高质量的镇痛效果。它的使用简化了这些儿童治疗过程中的一个主要方面。

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