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福島県立医科大学学術成果リポジトリ = Fukushima Medical University Repository >
福島医学会 = The Fukushima Society of Medical Science >
Fukushima Journal of Medical Science >
Vol.57 (2011) >
このアイテムの引用には次の識別子を使用してください:
http://ir.fmu.ac.jp/dspace/handle/123456789/303
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| タイトル: | Two cases of thoracic epidural neurolysis after local anesthetic titration in cancer patients |
| その他のタイトル: | Thoracic epidural neurolysis |
| 著者: | Takahashi-Sato, Kaoru
Hashimoto, Kotaro
Nakano, Yuko
Mogami, Midori
Muto, Mariko
Nakagawa, Masayuki
Murakawa, Masahiro |
| 学内所属: | 麻酔科学講座 |
| 誌名/書名: | Fukushima Journal of Medical Science |
| 巻: | 57 |
| 号: | 2 |
| 開始ページ: | 66 |
| 終了ページ: | 68 |
| 発行日: | 2011年 |
| 抄録: | Two patients who underwent thoracic epidural neurolysis after titration using local anesthetic are reported. Case 1 suffered serious back and epigastric pain arising from metastasis of lung cancer and Case 2 was not relieved right chest pain by costal metastasis from urethral cancer only by morphine. Block therapies improve the patients' quality of life if these underwent in opioid resistant pain or moving pain. Among them subarachnoid neurolytic blockage or epidural continuous blockage are usually selected in terminal stage. Subarachnoid blockage is potent but usually induces paresthesia and hypesthesia and patient has to keep lateral position under affected site intraoperatively. Epidural block is easy to treat but is difficult to continue because of infection and decrement of efficacy attributed adhesion of epidural space, stress arose from immobilization. We operate epidural neurolytic blockage for these patients and they were relieves from pain without suffer from the side effect. |
| 出版者: | The Fukushima Society of Medical Science |
| 出版者（異表記）: | 福島医学会 |
| 本文の言語: | eng |
| このページのURI: | http://ir.fmu.ac.jp/dspace/handle/123456789/303 |
| 本文URL: | http://ir.fmu.ac.jp/dspace/bitstream/123456789/303/1/FksmJMedSci_57_p66.pdf |
| ISSN: | 0016-2590
2185-4610 |
| DOI: | 10.5387/fms.57.66 |
| PubMed番号: | 22353653 |
| 異版(出版者版等): | http://dx.doi.org/10.5387/fms.57.66 |
| 権利情報: | © 2011 The Fukushima Society of Medical Science |
| 出現コレクション: | Vol.57 (2011)
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