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[2例在家中成功进行症状管理的案例，通过从芬太尼制剂转换为皮下持续注射盐酸吗啡，剂量低于基于换算表的等效剂量]

[2 cases of successful symptom management at home by using opioid rotation from a fentanyl preparation to a continuous subcutaneous injection of morphine hydrochloride, at a dose less than the equivalent dose based on the conversion table].

作者信息

Sato Masayuki, Miyamori Tadashi, Koyanagi Junko, Murase Jutaro, Saka Shohei, Ishii Nobuo, Nishi Tomohiro, Yamagishi Tadashi

机构信息

Kawasaki Comprehensive Care Center, Municipal Ida Hospital, City of Kawasaki.

出版信息

Gan To Kagaku Ryoho. 2012 Dec;39 Suppl 1:58-60.

PMID:23268901
Abstract

We report our experiences of 2 cases of successful pain management at home by using opioid rotation from a fentanyl preparation to a continuous subcutaneous injection of morphine hydrochloride, at a dose less than the equivalent dose based on the conversion table. Our experiences also suggested that opioid rotation according to the conversion ratios might be associated with the risk of delay in the detection of adverse reactions to opioid overdose in patients under home care, whose conditions cannot be checked frequently by health care providers.

摘要

我们报告了2例在家中成功进行疼痛管理的经验，方法是从芬太尼制剂转换为皮下持续注射盐酸吗啡，剂量低于根据换算表得出的等效剂量。我们的经验还表明，按照换算比例进行阿片类药物转换可能会增加居家护理患者阿片类药物过量不良反应检测延迟的风险，因为医护人员无法频繁检查这些患者的情况。

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[2 cases of successful symptom management at home by using opioid rotation from a fentanyl preparation to a continuous subcutaneous injection of morphine hydrochloride, at a dose less than the equivalent dose based on the conversion table].[2例在家中成功进行症状管理的案例，通过从芬太尼制剂转换为皮下持续注射盐酸吗啡，剂量低于基于换算表的等效剂量]
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