Laursen J O
Kirurgisk afdeling, Aabenraa Sygehus.
Ugeskr Laeger. 1994 Apr 4;156(14):2095-6.
Since 1992 it has been possible for cancer patients in the county of Southern Jutland to receive terminal care in their own homes. An essential part of this management is effective pain relief; more than 60% of cancer patients have chronic pain. In cases where oral medication or epidural administration of morphine is insufficient or complicated by side-effects continuous subcutaneous morphine administration may be suitable. The patient may be treated in this latter manner for long periods of time. A case story is described where a cancer patient was treated with continuous subcutaneous morphine in his home for more than 257 days without complications or major side-effects.
自1992年以来,南日德兰半岛的癌症患者就可以在自己家中接受临终护理。这种护理的一个重要部分是有效缓解疼痛;超过60%的癌症患者患有慢性疼痛。在口服药物或硬膜外注射吗啡不足或出现副作用的情况下,持续皮下注射吗啡可能是合适的。患者可以采用后一种方式接受长时间治疗。本文描述了一个病例,一名癌症患者在家中接受持续皮下注射吗啡治疗超过257天,没有出现并发症或严重副作用。