Geggie P H
Can J Surg. 1981 Mar;24(2):185-9.
Palliative care of the patient with terminal cancer of the pancreas concerns itself with pain, anorexia, nausea and vomiting, bowel and bladder disturbances, sleep aberrations, jaundice, hydration, nutritional state, neuropsychiatric disorders and attitude of patient and family towards the disease and its implications. Each of these facets has a bearing on the quality of life remaining. The administration of pain medication should consider the role of anxiety in the intensification of pain and an anxiolytic or sedative agent can be added if necessary. Specific kinds of pain should be dealt with in specific ways. Gastrointestinal conditions such as constipation, nausea and obstruction should be eliminated. Anorexia may cause debilitation and may also rob the patient of purpose and emotional pleasure.
晚期胰腺癌患者的姑息治疗涉及疼痛、厌食、恶心与呕吐、肠道和膀胱功能紊乱、睡眠异常、黄疸、水合作用、营养状况、神经精神障碍以及患者和家属对疾病及其影响的态度。这些方面中的每一个都与剩余的生活质量相关。疼痛药物的使用应考虑焦虑在疼痛加剧中的作用，如有必要可添加抗焦虑或镇静剂。特定类型的疼痛应以特定方式处理。应消除便秘、恶心和梗阻等胃肠道疾病。厌食可能导致身体虚弱，还可能剥夺患者的生活目标和情感愉悦感。
