Hatcher L B
Memorial University of Newfoundland.
Can Fam Physician. 1995 Apr;41:637-40, 643-5.
Postpolio syndrome is a sequela of paralytic poliomyelitis seen in approximately 25% of polio victims. Because the symptoms are nonspecific, it can be difficult to diagnose. Getting information about diagnosis and treatment of unusual conditions in rural and remote regions can be difficult, and physicians sometimes find themselves in the position of being the on-site "expert." Physicians must make difficult decisions with patients and their families about life-giving therapies, advance directives, and the like.
小儿麻痹后遗症是一种在约25%的小儿麻痹症患者中出现的麻痹性脊髓灰质炎后遗症。由于症状不具特异性,可能难以诊断。在农村和偏远地区获取关于罕见病症诊断和治疗的信息可能很困难,医生有时会发现自己处于现场“专家”的位置。医生必须与患者及其家属就维持生命的治疗、预先指示等做出艰难的决定。