Parke B, Cavanaugh J
Am J Phys Med. 1986 Apr;65(2):63-8.
Physiatrists are rarely presented with a case of amyloidosis. Its unrelenting course must be appreciated in order to speed the process of rehabilitation and help in setting appropriate and rapidly achievable goals. These rehabilitation challenges are discussed with respect to a patient with amyloidosis and a right cerebrovascular accident. The need for medical management of the systemic symptoms of amyloidosis is also addressed. It is felt that the addition of such a progressive terminal disease to the diagnosis of stroke leads to unique interactions among the rehabilitation staff, the patient, and the patient's family, and the need for an aggressive approach to goal-setting and discharge planning.
物理治疗师很少遇到淀粉样变性病例。必须认识到其无情的病程，以便加快康复进程，并有助于设定适当且能迅速实现的目标。本文结合一名患有淀粉样变性和右侧脑血管意外的患者，讨论了这些康复挑战。文中还阐述了对淀粉样变性全身症状进行药物治疗的必要性。人们认为，在中风诊断中增加这样一种进行性终末期疾病，会导致康复团队、患者及其家属之间产生独特的相互作用，并且需要采取积极的方法来设定目标和进行出院计划。
