Sculier J P
Service de Médecine, Institut Jules Bordet, Université Libre de Bruxelles, Belgium.
Clin Intensive Care. 1995;6(2):72-5.
A presumption based on the literature obtained from general hospitals is widespread among physicians, namely that patients with active malignant disease, particularly if metastatic, should not be resuscitated if they have a cardiorespiratory arrest. This attitude is not supported by studies performed on cardiopulmonary resuscitation (CPR) in cancer centres which report results similar to those obtained in non-cancer patients. In fact, cancer, even if metastatic, is not a contraindication in itself to CPR. The stage of the neoplastic disease, the cause of the cardiac arrest and the patient's choice have to be taken into consideration in order to decide whether or not to perform CPR.
基于综合医院文献得出的一种推测在医生中广泛存在，即患有活动性恶性疾病的患者，尤其是发生转移的患者，若出现心肺骤停则不应进行复苏。然而，癌症中心进行的关于心肺复苏（CPR）的研究并不支持这种态度，这些研究报告的结果与非癌症患者的结果相似。事实上，癌症即使发生转移，本身也不是CPR的禁忌症。为了决定是否进行CPR，必须考虑肿瘤疾病的阶段、心脏骤停的原因以及患者的选择。
