Palliative care in amyotrophic lateral sclerosis

被引:60
作者
Borasio, GD
Voltz, R
机构
[1] Department of Neurology University of Munich Klinikum Groflhadern D-81366 Munich,
[2] Germany,undefined
关键词
D O I
10.1007/PL00007719
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The poor prognosis of amyotrophic lateral sclerosis (ALS) makes palliative care a challenge for the neurologist. Most disabilities associated with progressive disease can be ameliorated by symptomatic treatment. Prognosis and treatment options should be openly discussed with the patient and his/her relatives. Nutritional deficiency due to pronounced dysphagia can be efficiently relieved by a percutaneous enterogastrostomy. Respiratory insufficiency can be treated by non-invasive ventilation at home, provided the familial environment is supportive. Adequate assistance and palliative treatment in the terminal phase is of paramount importance.
引用
收藏
页码:S11 / S17
页数:7
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