Mizuguchi T
Dept. of Anesthesiology, St. Luck'es International Hospital.
Gan To Kagaku Ryoho. 1995 Sep;22(11):1453-5.
Patient was 58 year old female with severe uterus cancer pain who refused to take the oral morphine in hospital because doctor should be hesitated to discharged patient whose pain is particularly difficult to manage in home. A few days later, she returned back home with her family irritably and recovered from hallucination by morphine-intake in home. The oral morphine is the prepared route of analgesic administration in home care. When patient can not take medications orally, continuous intravenous infusion provides the most consistent level of analgesia. In future, transdermal route offers a practical alternative in the hospice and home.
患者为一名58岁的女性，患有严重的子宫癌疼痛，因医生担心疼痛在家中难以控制而犹豫是否让患者出院，导致她在医院拒绝服用口服吗啡。几天后，她烦躁地与家人一起回家，并通过在家中服用吗啡从幻觉中恢复。口服吗啡是居家护理中首选的镇痛给药途径。当患者无法口服药物时，持续静脉输注可提供最稳定的镇痛效果。未来，透皮给药途径将为临终关怀和居家护理提供一种切实可行的替代方案。
