C***d
发帖数: 383 | 1 家里有老人因为鼻部癌症放疗后,导致鼻腔后部馈烂,现已贯通脑腔.由于脑腔感染,已有
过两次脑部水肿感染,第一次由强力消炎药控制, 第二次通过穿刺消除,现在是第三次.
前两次的诊断都先认为是脑瘤,后发现是水肿.此次还是认为有占位, 并伴随水肿.现在
水肿或者是占位已经影响到其生活能力,GCS ( Glasgow Coma Scale)值快速下降, 体现
于个人言语能力的下降 (基本不太说话,可以基本交流),行走不便,且基本不主动睁眼。
现在大夫建议如果病情继续恶化，将采用去大骨瓣减压术，以减轻颅内压力。但其他大
夫基于老人年纪（75岁），身体健康情况（进食困难，体弱），和其他病症（怀疑肺癌
），认为风险太大，不适合此手术。
我们家里没有医疗背景，对此非常彷徨。现在老人一直是以消炎药控制病情，有时好转
，但情况在最近有反复，反复低烧，言语和行动能力变化很大。大夫的建议是为情况进
一步恶化的准备。我不知道为什么同样的穿刺不可以再做，但看到他在生死的边缘上挣
扎，实在是感觉无从取舍。我从来没有来贵版讨扰过诸位，但现在实在是没有办法了。
恳求诸位给于您的专业意见，感激不尽。 | m*******1
发帖数: 328 | 2 The doctor is right. If my family member have mets in the brain which causes
increased ICP, I would put him/her in hospice. The cons/risks of surgery
outweighs the benefits. | C***d
发帖数: 383 | 3 非常感谢您的回复. 我认为他的GCS现在有大约11到13左右,我看网上说GCS值太低做风
险太高. 所以我比较倾向于不做,但是又苦于没有其他办法.
causes
【在 m*******1 的大作中提到】
: The doctor is right. If my family member have mets in the brain which causes
: increased ICP, I would put him/her in hospice. The cons/risks of surgery
: outweighs the benefits.
| m*******1
发帖数: 328 | 4 GCS just serves as one standard of operation choice. Your family should be
evaluated as a whole.
Disclaimer: You should consult your primary care physician for specific
advice depending on the patient's general situation. | C***d
发帖数: 383 | 5 Thanks for your advise. It seems GCS has been used as a major indicator in
several articles I read today. Well, his doctors certainly know a lot more.
【在 m*******1 的大作中提到】
: GCS just serves as one standard of operation choice. Your family should be
: evaluated as a whole.
: Disclaimer: You should consult your primary care physician for specific
: advice depending on the patient's general situation.
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