DeVelasco R, Dinwiddie L C
Baptist Health Systems, Miami, FL, USA.
ANNA J. 1998 Dec;25(6):611-4.
When dialysis no longer achieves the goal of prolonging quality life for the ESRD patient, withdrawal from dialysis is an option. Many patients, their families, and caregivers cannot make an informed decision to withdraw because they do not have sufficient information or, worse, are misinformed about what the patient might experience. This paper reviews the clinical circumstances in which dialysis is discontinued as well as the physiological signs and symptoms of the uremic-related death. Palliative management of those symptoms is from one nephrologist's model and provides a starting point for dialogue about this necessary care.
当透析不再能够实现延长终末期肾病（ESRD）患者的高质量生活这一目标时，停止透析是一种选择。许多患者、其家人及护理人员无法做出明智的停止透析的决定，因为他们没有足够的信息，或者更糟糕的是，他们得到了关于患者可能经历情况的错误信息。本文回顾了停止透析的临床情况以及与尿毒症相关死亡的生理体征和症状。这些症状的姑息治疗是基于一位肾脏病专家的模式，为关于这种必要治疗的对话提供了一个起点。
