Marin I, Andrieu J M, Chrétien J
Ann Med Interne (Paris). 1987;138(2):90-5.
The characteristics of patients with carcinoma of the lung during their last weeks of life were reviewed in 191 patients treated in the same department and who died between September 1982 and January 1985. The main symptoms were breathlessness (112/191) which posed difficult therapeutic problems preventing domiciliary treatment, and pain (87/191) which was more easily managed in the author's experience. The modes of death were also analysed, showing a number of sudden deaths (14). Therapeutic sedatives were the immediate cause of death in 32 cases, in the first part of the study. The authors make a rapid review of the different available palliative measures. This type of study is the only way of changing medical practices and strategies in patients dying in hospital.
对1982年9月至1985年1月间在同一科室接受治疗且死亡的191例肺癌患者生命最后几周的特征进行了回顾。主要症状为呼吸困难（112/191），这带来了难以解决的治疗问题，妨碍了居家治疗；还有疼痛（87/191），根据作者的经验，疼痛更容易处理。还分析了死亡方式，发现有一些猝死病例（14例）。在研究的第一部分，治疗用镇静剂是32例患者的直接死因。作者对现有的不同姑息治疗措施进行了简要回顾。这类研究是改变医院中临终患者医疗实践和策略的唯一途径。
