頭頸部末期癌に対する緩和医療 Palliative Care for Terminal Head and Neck Cancer Patients

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In this study we clinically reviewed the hospice in-patient records of 55 patients with terminal head and neck cancer. We focused on the dying process and strategies used for pain control, because the prediction of various events occurring during the dying process is crucial for the acceptance of death in patients and their families and relief from cancer pain is a central issue in the palliation of terminal head and neck cancer patients. The findings in this study indicated that the clinical course of 70% of patients with terminal head and neck cancer deteriorated gradually, but that death due to sudden change occurred in 30%, mainly due to hemorrhage. The mean duration of cancer pain was 14 weeks, and in the last 3 weeks patients had difficulty in ingestion. Pain management required administration of strong opioids by continuous subcutaneous infusion. Based on these findings, we suggest that it is important to pay particular attention to the high risk of sudden death and to pain management in terminal head and neck cancer patients.

収録刊行物

  • 耳鼻咽喉科臨床

    耳鼻咽喉科臨床 94(10), 935-940, 2001-10-01

    The Society of Practical Otolaryngology

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被引用文献:  3件中 1-3件 を表示

各種コード

  • NII論文ID(NAID)
    10008097927
  • NII書誌ID(NCID)
    AN00107089
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    00326313
  • データ提供元
    CJP書誌  CJP引用  J-STAGE 
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