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[脑出血性脑血管意外患者的康复——病例研究]

[Rehabilitation of the patient with cerebrovascular insult with haemorrhage--case study].

作者信息

Mujić Nedzad, Ramić Ibrahim, Redzić Kemal, Kapidzić Adnan, Volić Aida

机构信息

Institut za Fizikalnu Medicinu i Rehabilitaciju Klinicki Centar Univerziteta u Sarajevu.

出版信息

Med Arh. 2005;59(2):139-41.

PMID:15875484
Abstract

This is case study of the patient, 58 years old, occupation merchant, admitted tot he neurological clinic as urgent case with the following diagnosis: insultus cerebrovascularis per haemorrhagiam, Haemathoma cerebrale reg. temporoparietalis lat. sin., Aphasia sensomotoria, Hemiplegia cerebralis lat. dex, Hypertensio art., Cor hypertonicum comp., Status post nephrectomiam lat. dex. After 26 days the patient was moved to the Institute for physical medicine and rehabilitation where started rehabilitation treatment in which was included speech therapist as well. After 30 days,movement of right side was improved very well, especially of the patient's leg, and patient began to walk helped by stick. In the same time, the speech was improved, and we concluded that in rehabilitation of this kind of patients, team work is necessary, and we think that speech therapist should be included as early as possible with maximal involvement of the family.

摘要

这是一名58岁患者的病例研究,职业为商人,作为急症被收治到神经科门诊,诊断如下:脑出血性脑血管意外、右侧颞顶叶脑血肿、感觉运动性失语、右侧大脑偏瘫、高血压、高血压性心脏病、右侧肾切除术后状态。26天后,患者转至物理医学与康复研究所,开始康复治疗,其中也包括言语治疗师。30天后,患者右侧的运动,尤其是腿部运动,得到了很好的改善,患者开始借助拐杖行走。与此同时,言语能力也有所改善,我们得出结论,对于这类患者的康复,团队合作是必要的,并且我们认为言语治疗师应尽早纳入,同时患者家属应最大程度地参与其中。

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