姑息治疗中的恶心和呕吐。
Nausea and vomiting in palliative care.
机构信息
Royal Surrey County Hospital, Guildford, UK
出版信息
Clin Med (Lond). 2019 Jul;19(4):299-301. doi: 10.7861/clinmedicine.19-4-299.
Abstract
Nausea and vomiting in palliative care are commonly experienced symptoms, and the aetiology is often multifactorial. The most common causes are impaired gastric emptying, chemical causes (eg medication) and visceral causes (eg constipation). Close attention should be paid to the clinical features which may suggest the likely cause. Antiemetic therapy should be guided by the likely aetiology, although in practice, the clinical picture is often complex, and so regular reassessment is essential for adequate symptom control.
摘要
在姑息治疗中，恶心和呕吐是常见的症状，其病因通常是多因素的。最常见的原因是胃排空受损、化学原因（如药物）和内脏原因（如便秘）。应密切注意可能提示可能病因的临床特征。止吐治疗应根据可能的病因进行指导，但实际上，临床情况往往很复杂，因此定期重新评估对于充分控制症状至关重要。
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