高流量鼻插管治疗间质性肺炎患者的临终家庭护理:一例报告。

PubMed ID
发表日期 2020年Oct月

原始出处 世界临床病例杂志
World journal of clinical cases
作者 Goda  Ken  Kenzaka  Tsuneaki  Kuriyama  Kyosuke  Hoshijima  Masahiko  Akita  Hozuka 

文献标题 高流量鼻插管治疗间质性肺炎患者的临终家庭护理:一例报告。
End-of-life home care of an interstitial pneumonia patient supported by high-flow nasal cannula therapy: A case report.

文献摘要 BACKGROUND

高流量鼻插管(HFNC)治疗和吗啡持续皮下输注(CSI)已被用于改善非癌症晚期呼吸系统疾病患者的呼吸困难,包括慢性阻塞性肺疾病和间质性肺炎,主要是在医院。然而,使用这些设备进行家庭医疗的情况很少。我们观察一个病例来评估这种治疗策略的可行性。

CASE SUMMARY

在此,我们报告一位75岁男性,11年前被诊断为间质性肺炎,并在家中成功护理末期超过10个月,无需住院治疗,方法是在家中使用HFNC和吗啡CSI及病人自控镇痛装置。

CONCLUSION

积极使用HFNC和吗啡CSI与病人自控镇痛装置将证实特发性间质性肺炎病人的临终姑息性家庭护理是成功的。


BACKGROUND

High-flow nasal cannula (HFNC) therapy and morphine continuous subcutaneous infusion (CSI) have been used to ameliorate dyspnea in non-cancer patients with end-stage respiratory diseases, including chronic obstructive pulmonary disease and interstitial pneumonia, primarily in hospital settings. However, it is rare to perform home-based medical treatment using these. We observe a case to assess the feasibility of this treatment strategy.

CASE SUMMARY

Here, we report a case of a 75-year-old man who was diagnosed with interstitial pneumonia 11 years ago and was successfully nursed at home during his terminal phase for over 10 mo without hospitalization, by introducing domiciliary uses of HFNC and morphine CSI with a patient-controlled analgesia device.

CONCLUSION

Active utilization of HFNC and morphine CSI with patient-controlled analgesia device would substantiate successful end-of-life palliative home care of idiopathic interstitial pneumonia patients.


获取全文 10.12998/wjcc.v8.i20.4853