Fainsinger R L, Bruera E
Edmonton General Hospital, Alberta, Canada.
J Palliat Care. 1991 Winter;7(4):5-8.
Hypodermoclysis (HDC) is a well-known method of providing symptom control in terminally ill patients. In this article we make reference to two previous reports describing our use of HDC and a new method of subcutaneous narcotic delivery called the Edmonton Injector (EI). The rationale for using HDC mainly for rehydration and the EI when subcutaneous narcotics are needed is explored. The controversy surrounding the treatment of dehydration in the terminally ill is examined. Finally, the advantages on our palliative care unit of the convenience, increased flexibility, and cost and time saving of these two treatment methods are discussed.
皮下输液法（HDC）是一种在晚期患者中控制症状的知名方法。在本文中，我们参考了之前两篇描述我们使用HDC和一种名为埃德蒙顿注射器（EI）的新型皮下麻醉剂给药方法的报告。探讨了主要将HDC用于补液以及在需要皮下使用麻醉剂时使用EI的基本原理。研究了围绕晚期患者脱水治疗的争议。最后，讨论了这两种治疗方法在我们姑息治疗病房的便利性、更高的灵活性以及节省成本和时间方面的优势。
