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医生不应与绝症患者讨论心肺复苏术:支持方观点。

Doctors should not discuss resuscitation with terminally ill patients: FOR.

作者信息

Manisty Charlotte, Waxman Jonathan

机构信息

Department of Cancer Medicine, Faculty of Medicine, Imperial College of Science, Technology and Medicine, Hammersmith Campus, London W12 0NN.

出版信息

BMJ. 2003 Sep 13;327(7415):614-5. doi: 10.1136/bmj.327.7415.614.

DOI:10.1136/bmj.327.7415.614
PMID:12969934
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC194097/
Abstract

Doctors in Britain are expected to attempt resuscitation unless patients have agreed do not resuscitate orders. If patients are terminally ill, is discussion of such orders harmful or helpful?

摘要

在英国,除非患者已签署“不要复苏”的医嘱,否则医生有望尝试进行复苏。如果患者已病入膏肓,讨论这样的医嘱是有害还是有益呢?

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Doctors should not discuss resuscitation with terminally ill patients: FOR.医生不应与绝症患者讨论心肺复苏术:支持方观点。
BMJ. 2003 Sep 13;327(7415):614-5. doi: 10.1136/bmj.327.7415.614.
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Doctors should not discuss resuscitation with terminally ill patients: AGAINST.医生不应与绝症患者讨论心肺复苏术:反对。
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J Med Ethics. 2006 Oct;32(10):567-70. doi: 10.1136/jme.2005.013904.
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本文引用的文献

1
Characteristics of cardiac arrest in cancer patients as a predictor of survival after cardiopulmonary resuscitation.癌症患者心脏骤停的特征作为心肺复苏后生存的预测指标
Cancer. 2001 Oct 1;92(7):1905-12. doi: 10.1002/1097-0142(20011001)92:7<1905::aid-cncr1708>3.0.co;2-6.
2
Outcomes, preferences for resuscitation, and physician-patient communication among patients with metastatic colorectal cancer. SUPPORT Investigators. Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments.转移性结直肠癌患者的治疗结果、复苏偏好及医患沟通。SUPPORT研究组。了解治疗结果、风险的预后及偏好的研究。
Am J Med. 1998 Sep;105(3):222-9. doi: 10.1016/s0002-9343(98)00242-3.
3
Should a cancer patient be resuscitated following an in-hospital cardiac arrest?
Resuscitation. 1998 Mar;36(3):165-8. doi: 10.1016/s0300-9572(98)00015-x.