REVERSIBLE URINARY RETENTION SECONDARY TO EXCESSIVE MORPHINE DELIVERED BY AN INTRATHECAL MORPHINE PUMP

被引：6

作者：

UPPAL, GS

HAIDER, TT

DWYER, A

UPPAL, JA

机构：

[1] INLAND EMPIRE SPINE INST,RIVERSIDE,CA

[2] UNIV SO CALIF,DEPT CARDIOL,LOS ANGELES,CA 90089

[3] UNIV COLORADO,DEPT ORTHOPAED SURG,DENVER,CO 80202

来源：

SPINE | 1994年 / 19卷 / 06期

关键词：

PAIN; INTRATHECAL; NARCOTIC; PUMP;

D O I：

10.1097/00007632-199403001-00013

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Reversible complication of intrathecal morphine delivered by an implanted pump is described in one patient. The patient was evaluated initially using a contrast CT of the thoracic spine as well as urodynamics studies. After decreasing the intrathecally administered morphine from 2 mg/24 hr to .5 mg/24 hr, the patient's neurogenic bladder reversed within 4 days. Implanted pumps to deliver intrathecal narcotic medications are being used currently to treat intractable pain. This is a case report of reversible urinary retention secondary to the intrathecal narcotic.

引用

页码：719 / 720

页数：2

共 4 条

[1]

Brazenor G., Long term intrathecal administration of mor-phine: A comparison of bolus injection via reservoir with con-tinuous infusion by pump, Neurosurgery, 21, pp. 484-491, (1987)

[2]

Onofrio B., Yaksh T., Long-term pain relief produced by intrathecal morphine infusion in 53 patients, J Neurosurg, 72, pp. 200-209, (1990)

[3]

Penn R., Paice J., Chronic intrathecal morphine for intractable pain, J Neurosurg, 67, pp. 182-186, (1987)

[4]

Plummer J., Cherry D., Cousins M., Long-term administration of morphine in cancer and non-cancer pain: A retrospective study, Pain, 44, pp. 215-220, (1991)

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