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題 名 | Patient-controlled Epidural Analgesia for Postherpetic Neuralgia in an HIV-infected Patient as a Therapeutic Ambulatory Modality=以門診方式之病患自控式硬脊膜外止痛術治療--愛滋病患合併帶狀皰疹神經痛 |
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作 者 | 康富期; 張倍榮; 陳翰平; 蔡玉娟; | 書刊名 | 麻醉學雜誌 |
卷 期 | 36:4 1998.12[民87.12] |
頁 次 | 頁235-239 |
分類號 | 416.5 |
關鍵詞 | 人體免疫不全病毒感染; 皰疹後神經痛; 病患自控式止痛術; 麻醉藥; Human immunodeficiency virus infection; Postherpetic neuralgia; Analgesia, patient-controlled; Anesthetics, bupivacaine; |
語 文 | 英文(English) |
中文摘要 | 一43歲男性愛滋病患,於第四次感染帶狀皰疹後一個月,因左上肢內側,左前胸及背部劇烈疼痛至本院疼痛門診。疼痛爲間歇性無法忍受之銳痛及刺痛,部位在T1及T2皮節分佈區域,合併有麻木感及觸摸痛,無明顯皮膚病變。於T2及T3胸椎間放置硬脊膜外導管並分二次共給予1% lidocaine 8ml,病人疼痛完全緩解,無明顯血壓、心跳之變化。然止痛效果持續時間僅四小時。於第二天開始以病患自控式止痛幫浦(Baxter API),充填0.08% marcaine,設定每小時基礎劑量2ml,自控劑量2ml,鎖定時間15分鍾,1小時限制量8ml。病人每日以電話報告狀況,每三至四天回醫院充填藥物及診視導管放置部位之傷口,並每週更換導管。於使用28日後停止治療,病人不再有劇痛發生但輕微之麻木感仍繼續存在。治療過程中疼痛強度(VAS)由10分控制至0~2分,滿意度高,僅見之副作用爲初期使用時,左上肢觸感降低,無其他不良反應。報告此一愛滋病合併重覆性帶狀皰疹後神經痛之病例,以門診方式接受病患自控式硬脊膜外止痛術28日之治療後,疼痛完全緩解的病例。 |
英文摘要 | A 43-year-old HW-positive male was referred to our pain clinic one month after his fourth attack of herpes zoster infection. He complained of intermittent intolerable sharp and lancinating pain accompanied by numbness over the inner aspect of the left upper extremity, left anterior chest wall and the back. Physical examination revealed allodynia over the left T1 and T2 dermatomes without any obvious skin lesion. The pain was treated with epidural block made possible by a retention epidural catheter placed via the T[2-3] interspace. After the administration of 8 ml of 1% lidocaine in divided doses, the pain was completely relieved for 4 h without significant change of blood pressure or heart rate. A pump (Baxter API) for patient-controlled analgesia (PCA) filled with 0.08% bupivacaine was connected to the epidural catheter on the next day and programmed at a basal rate of 2 ml/h, PCA dose 2 ml, lockout interval 15 min with an one-hour dose limit of 8mL He was instructed to report his condition by telephone every weekday. The pump was refilled with drug and the wound of catheter entry was checked and managed every 3 or 4 days. The epidural catheter was replaced every week. During treatment, the pain intensity was controlled in the range from 10 to 0 2 on the visual analogue scale. He was very satisfied with the treatment and reported only slight hypoesthesia over the left upper extremity in the early treatment period. Epidural PCA was discontinued after 28 days. He did not complain of pain thereafter but reported a slight numb sensation still over the lesion site for a period of time. In conclusion, postherpetic neuralgia in an HIV-infected man was successfully treated with ambulatory therapeutic modality of epidural PCA for 28 days. |
本系統中英文摘要資訊取自各篇刊載內容。