Kawagoe Koh, Matsuura Shinobu
Home Care Clinic Kawagoe.
Gan To Kagaku Ryoho. 2008 Dec;35 Suppl 1:88-90.
This is a case of a 50s male with cecal cancer suffering from severe pain caused by osteolytic metastasis to the lumbar vertebra, right iliac bone, and the head of the right femur. The pain was palliated by continuous infusion of morphine using a subarachnoid catheter that had access to the subcutaneous "Port". The maximum dose of morphine used a day was 384 mg, which corresponded to 57,600 mg/day of oral morphine. Sixty eight days after the start of home hospice care, the patient died at home because of diffuse peritonitis caused by intestinal rupture.
这是一例50多岁的男性盲肠癌患者,因癌细胞溶骨性转移至腰椎、右髂骨和右股骨头而遭受剧痛。通过使用可接入皮下“端口”的蛛网膜下腔导管持续输注吗啡,疼痛得到缓解。每日使用吗啡的最大剂量为384毫克,相当于口服吗啡57600毫克/天。居家临终关怀护理开始68天后,患者因肠破裂导致弥漫性腹膜炎在家中死亡。