患者男,46岁,诊断:右肺癌Ⅳ期(多发淋巴结转移,多发骨转移—累及颈椎、胸骨、胸椎、肋骨、腰椎、骨盆骨等处),腰背部疼痛明显,卧床,疼痛评分7~8分。入科后,予口服盐酸羟考酮控释片60mg每12h,疗效不佳。又因患者同时行全身化疗,并出现Ⅳ度胃肠道反应,恶心呕吐严重,无法口服止痛 Male, 46 years old, diagnosed: right lung cancer stage IV (multiple lymph node metastases, multiple bone metastases - involving the cervical spine, sternum, thoracic spine, ribs, lumbar spine, pelvic bone, etc.) Minute. Into the subjects, to oral oxycodone hydrochloride controlled-release tablets 60mg every 12h, poor efficacy. And because patients undergoing systemic chemotherapy at the same time, and the emergence of Ⅳ degree gastrointestinal reaction, severe nausea and vomiting, no oral pain