Andrews Keith
Institute of Complex Neurodisability, Royal Hospital for Neurodisability, London.
Clin Med (Lond). 2003 Jul-Aug;3(4):342-5. doi: 10.7861/clinmedicine.3-4-342.
The request for withdrawal of nutrition and hydration from the vegetative patient is rare, but when it occurs it causes considerable anxiety for the clinical team. This anxiety is exacerbated by the need to seek a declaration from court that withdrawal of treatment would be legal. This paper discusses the process from the time of the request to the withdrawal of the tube feeding, and the actions the clinical team needs to take.
对于处于植物人状态的患者停止提供营养和水分的请求很少见，但一旦出现，就会给临床团队带来相当大的焦虑。由于需要寻求法院声明停止治疗具有合法性，这种焦虑进一步加剧。本文讨论了从提出请求到停止鼻饲的过程，以及临床团队需要采取的行动。
