Wiener Barbara
Abteilung für Neurologie, Landesklinikum Waldviertel Horn, Horn, Osterreich.
Wien Med Wochenschr. 2008;158(23-24):707-14. doi: 10.1007/s10354-008-0631-y.
Delirium is a common complication in palliative care of preterminally or terminally ill cancer patients. Based on a case report of a delirious male patient with cerebral metastasis, typical manifestations, etiologies, risk factors and possible therapies of palliative delirium will be reviewed. Furthermore, difficult therapeutic decisions with regard to the use of corticosteroids, fentanyl and parenteral rehydration therapy will be discussed.
谵妄是晚期或终末期癌症患者姑息治疗中常见的并发症。基于一例脑转移所致谵妄男性患者的病例报告，将对姑息性谵妄的典型表现、病因、危险因素及可能的治疗方法进行综述。此外，还将讨论关于使用皮质类固醇、芬太尼和肠外补液治疗方面艰难的治疗决策。
