Bengtsson M, Löfström J B
Department of Anaesthesiology, Linköping University, University Hospital, Sweden.
Acta Chir Scand. 1990 Apr;156(4):285-91.
Pain from pancreatic cancer is, in most cases, both severe and debilitating. Large doses of morphine are sometimes not tolerated or accepted by the patient, and are often ineffective. It has been claimed that "coeliac plexus block is the simplest, most effective and least hazardous" means of palliation (49, 59); we think that this is true, and that coeliac plexus block should be considered more often than it is today, and at an earlier stage. Only in rare cases should pain from pancreatitis be treated with a nerve block.
在大多数情况下,胰腺癌引起的疼痛严重且使人虚弱。大剂量吗啡有时患者无法耐受或接受,而且往往无效。有人声称“腹腔神经丛阻滞是最简单、最有效且危害最小”的姑息治疗方法(49,59);我们认为确实如此,而且腹腔神经丛阻滞应比目前更频繁地在更早阶段予以考虑。仅在极少数情况下,胰腺炎引起的疼痛才用神经阻滞治疗。