Equipa Comunitária de Suporte em Cuidados Paliativos de Sintra, Portugal.
Am J Hosp Palliat Care. 2021 Aug;38(8):1053-1056. doi: 10.1177/1049909120960715. Epub 2020 Sep 17.
Lower severe edema is a common condition faced by advanced cancer patients with an impact on comfort, quality of life, and care planning. Diuresis and mechanical interventions are the mainstream options for the treatment of edema, but, although effective, may not be indicated for frail, bed-bound, and dependent patients cared for in the community setting.We present a case report of a young female with severe edema to her right lower limb, which accepted controlled subcutaneous fluid drainage at her home. Subcutaneous fluid drainage at home was effective, safe, and feasible and improved the patient's comfort and well-being.
下肢严重水肿是晚期癌症患者常见的情况,会影响舒适度、生活质量和护理计划。利尿和机械干预是治疗水肿的主流选择,但尽管有效,对于在社区环境中护理的虚弱、卧床不起和依赖的患者可能并不适用。我们报告了一例年轻女性右下肢严重水肿的病例,她在家中接受了控制性皮下液体引流。家庭皮下液体引流是有效、安全且可行的,可提高患者的舒适度和幸福感。