Alvarez Hernández J, Requena T
Sección de Endocrinología y Nutrición, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, España.
Nutr Hosp. 2000;15 Suppl 1:41-8.
Artificial nutrition is a modern technique enjoying a great boom of late. Regulations on the use of important clinical and technological advances in connection with nutritional support in certain groups of patients represent one of the ethical problems most often posed in daily medical practice. Terminal patient and those with irreversible neurological damage are population groups at risk of these ethical problems when it comes to the prescription, withdrawal or omission of artificial nourishment and hydration. The establishment of certain guidelines in order to resolve the ethical problems arising seems to be a complex process. So far, no consensus has been reached among doctors, with no clear legal framework and no universally accepted ethical principles. It is necessary to ensure the consideration of all the circumstances and parties coming into conflict in order to find the best solution for all concerned by means of shared decision-making.
人工营养是一项近年来蓬勃发展的现代技术。对于某些患者群体，在营养支持方面使用重要临床和技术进展的相关规定，是日常医疗实践中最常出现的伦理问题之一。在人工营养和水合作用的处方、撤除或省略方面，晚期患者和患有不可逆神经损伤的患者是面临这些伦理问题风险的人群。为解决由此产生的伦理问题而制定某些指导方针似乎是一个复杂的过程。到目前为止，医生之间尚未达成共识，没有明确的法律框架，也没有普遍接受的伦理原则。有必要确保考虑到所有相关情况和冲突各方，以便通过共同决策为所有相关方找到最佳解决方案。
