z****e
发帖数: 555 | 1 My dad is 78 and has Parkinson. He also developed 老年痴呆 recently. My
sister said he is pretty clear during the day but at night he may say
something nobody understand.
He fell and broke his hip 5 days ago.
We have to make decision if he should do surgery or not to fix his hip
Was told
(1) he is 80 years old, may not be easy to sustain the big surgery, and
after surgery complicates such as infections ...
(2) surgery has risk such as 血栓. he has high blood pressure.
(3) anesthesia will make his 老年痴呆 worse. Under his 老年痴呆, he may do
something that will hurt his hip fix easily.
(4) Parkinson disease makes the hip fix dislocation easier. That means he
will need to receive another surgery.
What is the consequences for not doing surgery operation?
(1) not able to move, will get weaker and weaker quickly
(2) pain ?
(3) lung problem?
Any help?
he wants to do operation at the first, he wants to walk himself then he
changes his mind not to do it in the afternoon. he may be reverse his
decision.
Thanks |
m*****a
发帖数: 2160 | 2 病人在国内还是美国？
在美国这种情况医生一般会有倾向性交代
获益和风险应该由医生进行。比如版上有人推荐手术，病人的当地医生没有把握你敢让
他们开吗？
以及不做手术患者长期卧床会有较高的血栓以及其他严重并发症风险。如果患者仅仅是
高龄+骨折而不考虑其他基础病，手术目前是比较明确利大于弊的。但是考虑病人其他
基础病和骨折前的功能状态就需要骨科和麻醉科医生具体问题具体分析了 |
z****e
发帖数: 555 | 3 在中国
He has 老年痴呆. The type is 狂躁型, 做他想做anything.
医生has the concern. He may do the things damage the hip fix easily.
What is the consequences of not fixing it?
Thanks |
m*****a
发帖数: 2160 | 4 我觉得这个问题应该让当地医生决定，可以问医生“如果是你的父亲，你会怎么做？”
然后充分相信他们
正如我说，国内和美国医疗条件不同，即使美国医生对此信心十足，不代表国内医生能
够同样得心应手，特别美国对于多学科协作联合诊疗做的比国内好（老年痴呆，帕金森
，以及听你们描述像是夜间瞻望的症状，都是有办法治疗的情况）。
【在 z****e 的大作中提到】
: 在中国
: He has 老年痴呆. The type is 狂躁型, 做他想做anything.
: 医生has the concern. He may do the things damage the hip fix easily.
: What is the consequences of not fixing it?
: Thanks
|
