肌萎缩侧索硬化症：综合管理

Amyotrophic lateral sclerosis: comprehensive management.

作者信息

DeLisa J A, Mikulic M A, Miller R M, Melnick R R

出版信息

Am Fam Physician. 1979 Mar;19(3):137-42.

Abstract

The cause of amyotrophic lateral sclerosis remains unknown, and no curative treatment is available. From a rehabilitation perspective, however, comprehensive management and symptomatic treatment can minimize complications, increase function and improve the patient's quality of life. Quinine, diazepam (Valium) and phenytoin (Dilantin) may relieve muscle cramps, and orthoses may permit greater participation in daily activities. Problems with respiration and swallowing may require surgical procedures and the use of feeding tubes. Decisions regarding surgical intervention must be made in the context of the patient's overall status.

摘要

肌萎缩侧索硬化症的病因尚不清楚，目前也没有治愈的疗法。然而，从康复的角度来看，综合管理和对症治疗可以将并发症降至最低，增强功能并改善患者的生活质量。奎宁、地西泮（安定）和苯妥英（大仑丁）可能会缓解肌肉痉挛，而矫形器可能有助于患者更多地参与日常活动。呼吸和吞咽问题可能需要手术治疗并使用喂食管。关于手术干预的决策必须根据患者的整体状况来做出。