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由陳亮恭著作·2001·被引用1次—喘；嗎啡；癌症；安寧療護；Dyspnea；hospices；morphine...臨床上使用嗎啡來緩解喘的症狀聽來匪夷所思，但是實際上確有其療效，截至目前為止，嗎啡止喘 ...

Regardless of cancer biology, dyspnea would occur in 50% of terminal cancer patients. In patients with lung cancer, about 70% of patients in terminal stage would experience dyspnea. Dyspnea is difficult to resolve in terminally ill patients and usually leads to sufferings. From the viewpoint of Palliative Medicine, the management of terminal dyspnea should be consider (1) the existing underlying diseases, such anemia (2) acute respiratory complications, such a s pneumonia (3) specific cancer-associated problems, such as malignant pleural effusion (4) complications related to cancer treatment, such as radiation pneumonitis. In the management of dyspnea, the underlying diseases should always be treated first. However, in terminal patients, palliation of discomfort may be more important than curative treatment. Therefore, to palliative the suffering from dyspnea is crucial to care terminal cancer patients. Morphine is clinic...