Chye R W, Lickiss J N
Department of Palliative Care, Royal Prince Alfred Hospital, Camperdown, NSW, Australia.
Ann Acad Med Singap. 1994 Mar;23(2):197-203.
Bilateral ureteric obstruction is an uncommon complication arising from malignancy and its treatment. There are several effective methods of overcoming the obstruction but the choice of option requires careful consideration of various factors pertaining to each individual. These factors include the patient's age, premorbid health and lifestyle, and the extent and rate of disease. Patient and family expectations, goals and priorities need careful consideration in the context of the patient's prognosis. If measures to relieve the obstruction are not to be undertaken, symptom control then becomes paramount. This paper explores the various options and decision making by focusing on representative patients encountered in the practice of the Central Sydney Area Health Palliative Care Service.
双侧输尿管梗阻是恶性肿瘤及其治疗引发的一种罕见并发症。有几种有效的方法可克服这种梗阻，但具体选择何种方法需要仔细考虑与每个个体相关的各种因素。这些因素包括患者的年龄、病前健康状况和生活方式，以及疾病的程度和进展速度。在考虑患者预后的背景下，需要认真考虑患者及其家属的期望、目标和优先事项。如果不采取解除梗阻的措施，那么症状控制就变得至关重要。本文通过聚焦悉尼中区卫生姑息治疗服务实践中遇到的典型患者，探讨了各种选择及决策过程。
