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首页> 外文期刊>Journal of hospice and palliative nursing: JHPN : the official journal of the Hospice and Palliative Nurses Association >Palliative Care and the Acute Stroke Patient
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Palliative Care and the Acute Stroke Patient

机译：姑息治疗和急性中风患者

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摘要

B.Z. is a 58-year-old man who experienced a large left middle-cerebral-artery (MCA) stroke. He was intubated immediately and, a few days later, developed such significant swelling that, to survive, he had to undergo decompressive craniectomy. Waxing and waning mental status, pneumonia, and a urinary tract infection complicated his hospital stay. Two weeks after the event, he was still unable to swallow, and the family decided to have a PEG tube placed. On discharge to the nursing home, he was awake but globally aphasic; he seemed to recognize his family members but did not follow commands or vocalize. He had a dense right hemiplegia. One year later, he is living at home with his wife; he walks with a cane and has started verbalizing a little-he says "no" quite emphatically, as well as "yes" and "honey."
机译：B.Z.是一位58岁的男性，经历了左大脑中动脉（MCA）大中风。立即给他插管，几天后，肿胀变得如此巨大，以至于为了生存，他必须进行减压颅骨切除术。精神状态的恶化和消退，肺炎和尿路感染使他的住院变得复杂。事件发生两周后，他仍然无法吞咽，一家人决定放一个PEG管。出院后，他清醒了，但在全球范围内失语。他似乎认出了他的家人，但没有遵循命令或发声。他患有右偏瘫。一年后，他与妻子住在一起。他with着拐杖走路，开始有点口头-他非常强调说“不”，以及“是”和“蜂蜜”。

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