Dover S B
Br Med J (Clin Res Ed). 1987 Feb 28;294(6571):553-5. doi: 10.1136/bmj.294.6571.553.
Continuous subcutaneous infusions of drugs by syringe driver are used often and successfully in the terminal care of patients when drugs cannot be given orally. Diamorphine is the opioid of choice because of its high solubility. If other drugs such as antiemetics, anticholinergics, sedatives, or steroids are required they may also be given by syringe driver. This method is particularly useful for domiciliary care, where the practical difficulties of providing regular parenteral analgesia are otherwise formidable.
当无法口服给药时,通过注射器驱动泵进行皮下持续输注药物在患者的临终关怀中经常被成功使用。由于二醋吗啡具有高溶解性,它是首选的阿片类药物。如果需要使用其他药物,如止吐药、抗胆碱能药、镇静剂或类固醇,也可以通过注射器驱动泵给药。这种方法对于家庭护理特别有用,否则提供常规胃肠外镇痛会面临巨大的实际困难。