临终患者的呼吸困难。
Dyspnea in dying patients.
作者信息
Hsu D H
机构信息
Seymour Medical Clinic, Vancouver.
出版信息
Can Fam Physician. 1993 Jul;39:1635-8.
Abstract
Dyspnea is common in terminally ill patients and is often fairly difficult to control. If specific causes cannot be identified or treated, general measures to relieve symptoms should be used. Nondrug measures (eg, discussion and explanation with the patient) and drug measures (eg, morphine) can be used to control the dyspnea, although side effects, such as sedation, can be problematic.
摘要
呼吸困难在晚期患者中很常见，且往往相当难以控制。如果无法识别或治疗特定病因，就应采用缓解症状的一般措施。可以使用非药物措施（如与患者进行讨论和解释）和药物措施（如吗啡）来控制呼吸困难，尽管诸如镇静等副作用可能会带来问题。
相似文献
1
Dyspnea in dying patients.临终患者的呼吸困难。
Can Fam Physician. 1993 Jul;39:1635-8.
2
Terminal dyspnea and respiratory distress.终末期呼吸困难和呼吸窘迫。
Crit Care Clin. 2004 Jul;20(3):403-17, viii-ix. doi: 10.1016/j.ccc.2004.03.015.
3
Nonpain symptom management in terminal care.
Clin Geriatr Med. 1996 May;12(2):313-27.
4
Morphine for dyspnea control in terminal cancer patients: is it appropriate in Taiwan?吗啡用于终末期癌症患者的呼吸困难控制：在台湾是否合适？
J Pain Symptom Manage. 2004 Oct;28(4):356-63. doi: 10.1016/j.jpainsymman.2004.01.004.
5
Management of common symptoms in terminally ill patients: Part II. Constipation, delirium and dyspnea.晚期患者常见症状的管理：第二部分。便秘、谵妄与呼吸困难。
Am Fam Physician. 2001 Sep 15;64(6):1019-26.
6
Controlled sedation for refractory symptoms in dying patients.对临终患者难治性症状进行的镇静控制
J Pain Symptom Manage. 2009 May;37(5):771-9. doi: 10.1016/j.jpainsymman.2008.04.020. Epub 2008 Nov 28.
7
Terminal delirium: families' experience.临终谵妄：家属的经历
Palliat Med. 2007 Oct;21(7):587-94. doi: 10.1177/0269216307081129.
8
[Terminal sedation: consultation with a second physician as is the case in euthanasia and assisted suicide].[临终镇静：如同安乐死和协助自杀的情况那样，与第二位医生进行会诊]
Ned Tijdschr Geneeskd. 2005 Feb 26;149(9):445-8.
9
[Management of dyspnea in the cancer patient].[癌症患者呼吸困难的管理]
Bull Cancer. 2003 Mar;90(3):214-8.
10
[Drug consultation for a terminal cancer patient at home care-management of dyspnea and pain by morphine].
Gan To Kagaku Ryoho. 2001 Dec;28 Suppl 1:107-9.
引用本文的文献
1
Clinical management of dying patients.临终患者的临床管理。
West J Med. 1995 Sep;163(3):268-77.
2
Preventing crises in palliative care in the home. Role of family physicians and nurses.
Can Fam Physician. 1995 Mar;41:439-45.
本文引用的文献
1
Effects of dihydrocodeine, alcohol, and caffeine on breathlessness and exercise tolerance in patients with chronic obstructive lung disease and normal blood gases.二氢可待因、酒精和咖啡因对慢性阻塞性肺疾病且血气正常患者呼吸急促及运动耐量的影响。
N Engl J Med. 1981 Dec 31;305(27):1611-6. doi: 10.1056/NEJM198112313052703.
2
Drug treatment of breathlessness: contrasting effects of diazepam and promethazine in pink puffers.呼吸困难的药物治疗：地西泮和异丙嗪对肺过度充气患者的不同作用
Br Med J (Clin Res Ed). 1981 Aug 1;283(6287):343-6. doi: 10.1136/bmj.283.6287.343.
3
Dyspnea in terminally ill cancer patients.
Chest. 1986 Feb;89(2):234-6. doi: 10.1378/chest.89.2.234.
4
Assessment and management of breathlessness.呼吸困难的评估与管理。
Chest. 1985 Aug;88(2 Suppl):77S-83S. doi: 10.1378/chest.88.2_supplement.77s.
5
Dyspnea: physiological and pathophysiological mechanisms.呼吸困难：生理与病理生理机制
Annu Rev Med. 1988;39:503-15. doi: 10.1146/annurev.me.39.020188.002443.
6
Dyspnea management: "to take into the air my quiet breath".呼吸困难的管理：“让我平静的呼吸融入空气”。
J Palliat Care. 1989 Dec;5(4):52-4.
7
Measuring symptoms in terminal cancer: are pain and dyspnoea controlled?终末期癌症症状的测量：疼痛与呼吸困难得到控制了吗？
J R Soc Med. 1989 May;82(5):264-7. doi: 10.1177/014107688908200507.
8
Character of terminal illness in the advanced cancer patient: pain and other symptoms during the last four weeks of life.晚期癌症患者的终末期疾病特征：生命最后四周的疼痛及其他症状。
J Pain Symptom Manage. 1990 Apr;5(2):83-93. doi: 10.1016/s0885-3924(05)80021-1.
9
Effects of morphine on the dyspnea of terminal cancer patients.吗啡对晚期癌症患者呼吸困难的影响。
J Pain Symptom Manage. 1990 Dec;5(6):341-4. doi: 10.1016/0885-3924(90)90027-h.
10
Symptom control during the last week of life on a palliative care unit.在姑息治疗病房生命的最后一周内的症状控制。
J Palliat Care. 1991 Spring;7(1):5-11.
Zotero 插件