Department of Emergency Medicine, Beth Israel Medical Center, First Avenue, 16th Street, New York, NY 10003, USA.
Hematol Oncol Clin North Am. 2010 Jun;24(3):643-58. doi: 10.1016/j.hoc.2010.03.002.
Patients and families struggling with cancer fear pain more than any other physical symptom. There are also significant barriers to optimal pain management in the emergency setting, including lack of knowledge, inexperienced clinicians, myths about addiction, and fears of complications after discharge. In this article, we review the assessment and management options for cancer-related pain based on the World Health Organization (WHO) 3-step approach.
癌症患者及其家属最害怕的是疼痛，甚于任何其他身体症状。在紧急情况下，疼痛管理也存在很大障碍，包括缺乏知识、临床医生经验不足、对成瘾的误解，以及对出院后并发症的担忧。本文根据世界卫生组织（WHO）三阶梯止痛治疗原则，对癌性疼痛的评估和治疗选择进行综述。
