通过手术让一位老年痴呆患者不再喊叫。
Surgery to quieten the yelling of a demented old man.
作者信息
Gafner G
机构信息
Veterans Administration Medical Center, Tucson, Arizona.
出版信息
J Med Ethics. 1987 Dec;13(4):195-7. doi: 10.1136/jme.13.4.195.
Abstract
The 84-year-old man's incessant yelling caused him to be unmanageable in all settings--at home with his aged wife, in nursing homes, and on the medical and psychiatric floors of a Veterans Administration Medical Center. A host of behavioural and pharmaceutical interventions were attempted unsuccessfully. Finally, it was proposed that a single, recurrent laryngeal nerve be crushed in order to 'render his voice to be a very acceptable soft tone'.
摘要
这位84岁的男子不停地叫嚷，导致他在任何环境中都难以管束——无论是在家里与年迈的妻子相处时，在养老院里，还是在退伍军人管理局医疗中心的内科和精神科病房。一系列行为和药物干预措施都尝试过了，但都没有成功。最后，有人提议挤压一根单侧喉返神经，以便“让他的声音变得非常柔和，易于接受”。
相似文献
1
Surgery to quieten the yelling of a demented old man.通过手术让一位老年痴呆患者不再喊叫。
J Med Ethics. 1987 Dec;13(4):195-7. doi: 10.1136/jme.13.4.195.
2
Surgery to quieten the yelling of a demented old man.为让一位老年痴呆患者不再大喊大叫而进行的手术。
J Med Ethics. 1987 Dec;13(4):198-200. doi: 10.1136/jme.13.4.198.
3
Surgical intervention in dementia.痴呆症的外科干预
J Med Ethics. 1987 Dec;13(4):171-2. doi: 10.1136/jme.13.4.171.
4
Informal coercion in the physical care of patients suffering from senile dementia or mental retardation.对老年痴呆症或智力迟钝患者进行身体护理时的非正式强制行为。
Nurs Ethics. 1999 Jul;6(4):327-36. doi: 10.1177/096973309900600408.
5
Exercising restraint: autonomy, welfare and elderly patients.克制：自主性、福利与老年患者
J Med Ethics. 1996 Jun;22(3):160-3. doi: 10.1136/jme.22.3.160.
6
Tracking patients who wander: ethics and technology.
Lancet. 1994 May 21;343(8908):1274. doi: 10.1016/s0140-6736(94)92159-8.
7
Surgery of the recurrent laryngeal nerve for spastic dysphonia.用于痉挛性发声障碍的喉返神经手术。
Ann Otol Rhinol Laryngol. 1977 May-Jun;86(3 Pt 1):411. doi: 10.1177/000348947708600323.
8
The care of patients with dementia: a modern Jewish ethical perspective.
J Am Geriatr Soc. 2005 May;53(5):881-4. doi: 10.1111/j.1532-5415.2005.53271.x.
9
Division of the recurrent laryngeal nerve for idiopathic laryngeal spasm.为治疗特发性喉痉挛而进行的喉返神经切断术。
J Otolaryngol. 1987 Jun;16(3):185-7.
10
The problem of informed consent in dementia research.痴呆症研究中的知情同意问题。
Med Law. 1990;9(6):1206-13.
本文引用的文献
1
Problems with surgical (RLN section) treatment of spastic dysphonia.
Laryngoscope. 1983 Mar;93(3):268-71.
2
Long-term results in spastic dysphonia.
N C Med J. 1984 Jan;45(1):63-4.
3
Spastic dysphonia helped by clipping recurrent laryngeal nerve.通过切断喉返神经治疗痉挛性发音障碍。
N C Med J. 1983 Jun;44(6):381.
Zotero 插件