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首页> 外文期刊>The American journal of emergency medicine >Opiate refractory pain from an intestinal obstruction responsive to an intravenous lidocaine infusion
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Opiate refractory pain from an intestinal obstruction responsive to an intravenous lidocaine infusion

机译：利多卡因静脉滴注引起的肠梗阻引起的阿片类顽固性疼痛

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摘要

A 24-year-old female patient presented to our community emergency department (ED) for abdominal pain that had progressively worsened over the last 28 hours. Of note, 1 month prior to her presentation, the patient had a colostomy due to a rectal abscess and required stoma revision 5 days prior to her visit to our ED. The patient's pain was refractory to opiate analgesia in our ED, but experienced significant relief after an intravenous lidocaine infusion. Computer tomography of the abdomen and pelvis ultimately revealed a large bowel obstruction just proximal to the colostomy site. Historically, options for ED management of severe pain have been limited beyond narcotic analgesia. For patients whom are refractory to opiates in the ED, or for whomopiates are contraindicated, lidocaine infusions have shown promise for a variety of both acute and chronic painful conditions.
机译：一名24岁的女性患者因腹部疼痛而出现在我们的社区急诊科（ED），在过去28个小时中该疼痛逐渐加重。值得注意的是，在就诊前1个月，患者因直肠脓肿而进行了结肠造口术，并在就诊ED前5天进行了造口术。急诊室的阿片类镇痛使患者的疼痛难以忍受，但静脉注射利多卡因后疼痛明显减轻。腹部和骨盆的计算机断层扫描最终显示出刚好在结肠造口术部位附近出现大肠梗阻。从历史上看，ED治疗重度疼痛的选择仅限于麻醉镇痛。对于急诊中阿片类药物难治的患者或禁忌使用阿片类药物的患者，输注利多卡因已显示出在各种急性和慢性疼痛情况下的希望。

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