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ID 116045
タイトル別表記
An autopsy experience of a case with amyotrophic lateral sclerosis treated in a remote rural hospital
地域中核病院から病理解剖を依頼したALS
著者
花田, 健太 那賀町立上那賀病院|徳島大学
柿本, 拓海 徳島大学
島, かさ音 徳島大学
武藤, 浩平 徳島大学
福本, 竜也 徳島大学
藤田, 浩司 徳島大学
鬼頭, 秀樹 那賀町立上那賀病院
キーワード
neurodegenerative diseases
autopsy
rural area
amyotrophic lateral sclerosis
資料タイプ
学術雑誌論文
抄録
An 82-year-old man, who developed dysphagia several months ago, presented Tokushima University Hospital and was diagnosed of ALS in December 2019. The patient got gradually worse and became bedridden in May 2020. He was admitted into Tokushima University Hospital suffering an aspiration pneumonia in June 2020. The pneumonia rapidly improved with a treatment ; however, the patient failed to be treated at home against his wish and was transferred to Kaminaka Hospital. We accepted his wish for refusing mechanical ventilation or tube feeding. Later, we requested autopsy consent from the patient. He did not refuse our proposal ; therefore, we presearched transporters capable to deceased bodies and contacted the division of pathology in Tokushima University. 60 days later, the patient died due to a suddenly developed putamen hemorrhage. After getting the family's consent, as previously arranged, we transferred the deceased body to Tokushima University and accomplished an autopsy. Although the number of autopsies is declining, we suggest that hospital collaboration may help perform autopsies.
掲載誌名
四国医学雑誌
ISSN
00373699
cat書誌ID
AN00102041
出版者
徳島医学会
77
1-2
開始ページ
91
終了ページ
94
並び順
91
発行日
2021-04-25
フルテキストファイル
言語
jpn
著者版フラグ
出版社版
部局
病院
医学系