Sobolewski Piotr
Oddział Neurologii, Samodzielny Publiczny Zespół Zakładów Opieki Zdrowotnej w Sandomierzu.
Neurol Neurochir Pol. 2003;37 Suppl 5:183-8.
The aim of the reports is to emphasize difficulty in treatment of Parkinson's disease in patients with surgical problems. Complex treatment of this patients is of major therapeutic challenge. The use of either soluble forms of levodopa, parenteral amantadine or apomorphine in the immediate postoperative period for patients unable to take oral antiparkinson drugs and early resumption of the oral antiparkinson drugs increases patients' comfort, may reduce serious postoperative complications and are the key points in the management of the patients.
这些报告的目的是强调帕金森病患者在手术问题方面的治疗难度。对这类患者进行综合治疗是一项重大的治疗挑战。对于无法口服抗帕金森药物的患者,在术后即刻使用左旋多巴的可溶性制剂、胃肠外给予金刚烷胺或阿扑吗啡,并尽早恢复口服抗帕金森药物,可提高患者的舒适度,可能减少严重的术后并发症,这些都是患者管理中的关键点。