Hendrickx P, Abou Hatem R, Nicaise C
Acta Anaesthesiol Belg. 1984;35 Suppl:279-84.
We organize the self administration of opiates by the epidural route on an out patients basis to relieve cancer pain. After the insertion of a percutaneous epidural catheter, we inject 3 mg of morphine sulfate and observe the patient for a duration of 24 hours in the intensive care unit. Then, an implantable, subcutaneous device is placed, connected to the epidural space by a silastic catheter placed through a 14 G Tuohy needle. After a careful training programme given at the hospital, the patient is allowed to go home. His progress is followed in the oncologic consultation unit every 15 days. The results are analysed in view of the rare side effects and of the good pain relief. The implantable port seems to be a valuable method to relieve cancer pain, but needs a rigourous technique and training.
我们在门诊基础上组织通过硬膜外途径自我给药阿片类药物以缓解癌症疼痛。插入经皮硬膜外导管后，我们注射3毫克硫酸吗啡，并在重症监护病房观察患者24小时。然后，放置一个可植入的皮下装置，通过一根14G Tuohy针置入的硅橡胶导管将其连接到硬膜外间隙。在医院进行仔细的培训计划后，患者可以回家。每15天在肿瘤咨询病房对其进展情况进行随访。鉴于副作用罕见且疼痛缓解良好，对结果进行了分析。可植入端口似乎是缓解癌症疼痛的一种有价值的方法，但需要严格的技术和培训。
