
圖、文/周刊王
長輩動作變慢或是走不穩,可能不是失智,而是跌倒撞到頭導致「慢性硬腦膜下出血」,ICU醫師陳志金表示,「我們需要對跌倒的長輩多一點警覺,也需要多一點雞婆,多多關心周遭的人。」
陳志金在臉書發文分享一個案例,一名80歲阿公日前因為在田裡跌倒撞到頭,突然動作變慢、走路不穩,講話也不清楚,最近認不得子女,原本被診斷為失智,但到醫院進行腦部斷層掃描,才發現是慢性硬腦膜下出血,進行開顱手術阿公恢復,還能開口說要吃「涼的」,讓家人非常驚喜。
陳志金解釋,阿公是慢性出血,估計在撞擊後的數週到數月才有症狀,容易被認為是失智,常見症狀有語言變慢、反應遲鈍、記憶力衰退等,如果忽略可能會延誤治療,他提醒,「2、3個月內,如果你覺得老人家像是失智、退化(行動緩慢、講話變慢、走路不穩……)記得帶回來做檢查,提醒醫師,老人家曾經撞到頭部。」
陳志金指出,另名70歲獨居老人因為走路不穩定且行為異常,被「雞婆」的鄰居通報他的家人,送急診才發現他2週前撞到頭,「我們需要對跌倒的長輩多一點警覺,也需要多一點雞婆,多多關心周遭的人。」
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