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[姑息治疗中呼吸困难及其他呼吸症状的治疗]

[Treatment of dyspnea and other respiratory symptoms in palliative care].

作者信息

Lehto Juho, Anttonen Anu, Sihvo Eero

机构信息

HUS.

出版信息

Duodecim. 2013;129(4):395-402.

Abstract

Respiratory symptoms cause much of suffering in palliative care. Opioids are the first-line drugs in symptomatic treatment, and a therapeutic intervention with benzodiazepines may also be justified. If the patient does not have hypoxia, oxygen and air stream have similar effects on dyspnea. Cough reflex is attenuated with opioids, and symptoms due to respiratory secretions are alleviated with anticholinergic drugs and mucolytics. Physical therapy and methods of respiratory management are profitable in the treatment of respiratory symptoms. Radiation therapy relieves cancer-induced hemoptysis, cough, chest pain and dyspnea.

摘要

呼吸症状在姑息治疗中造成了很大痛苦。阿片类药物是症状治疗的一线药物,使用苯二氮䓬类药物进行治疗干预也可能是合理的。如果患者没有缺氧,氧气和气流对呼吸困难有相似的影响。阿片类药物会减弱咳嗽反射,抗胆碱能药物和黏液溶解剂可缓解因呼吸道分泌物引起的症状。物理治疗和呼吸管理方法对呼吸症状的治疗有益。放射治疗可缓解癌症引起的咯血、咳嗽、胸痛和呼吸困难。

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