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老年人的复苏状态。

Resuscitation status of the elderly.

作者信息

Smith E M, Hastie I R

机构信息

St George's Hospital Medical School, London.

出版信息

J R Coll Physicians Lond. 1992 Oct;26(4):377-9.

PMID:1432877
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5375545/
Abstract

Resuscitation of patients in hospital following cardiopulmonary arrest is a standard procedure. Such intervention is not always appropriate, and this article examines some of the issues involved in making the decision not to resuscitate, with particular reference to elderly patients. The effectiveness and possible adverse effects of cardiopulmonary resuscitation (CPR) in the elderly are considered, along with ethical aspects of the problem such as how to discuss the pros and cons with the patient and relatives.

摘要

医院对心脏骤停患者进行复苏是一项标准程序。这种干预并不总是恰当的，本文探讨了一些在决定不进行复苏时涉及的问题，特别是针对老年患者。文中考虑了心肺复苏（CPR）对老年人的有效性和可能的不良影响，以及该问题的伦理方面，例如如何与患者及其亲属讨论利弊。

相似文献

1
Resuscitation status of the elderly.老年人的复苏状态。
J R Coll Physicians Lond. 1992 Oct;26(4):377-9.
2
The ethics of cardiopulmonary resuscitation. I. Background to decision making.心肺复苏的伦理学。I. 决策背景。
Arch Dis Child. 1992 Dec;67(12):1498-501. doi: 10.1136/adc.67.12.1498.
3
Ethical aspects of resuscitation.复苏的伦理问题。
Br J Anaesth. 1997 Aug;79(2):253-9. doi: 10.1093/bja/79.2.253.
4
Marginally effective medical care: ethical analysis of issues in cardiopulmonary resuscitation (CPR).疗效甚微的医疗救治：心肺复苏术（CPR）相关问题的伦理分析
J Med Ethics. 1997 Dec;23(6):361-7. doi: 10.1136/jme.23.6.361.
5
Discussing cardiopulmonary resuscitation with patients.
Br J Nurs. 2001;10(18):1201-7. doi: 10.12968/bjon.2001.10.18.9941.
6
Ethical aspects of resuscitation.复苏的伦理问题。
Ann Emerg Med. 1992 Oct;21(10):1273-6. doi: 10.1016/s0196-0644(05)81762-7.
7
When is dead, dead? The ethics of resuscitation in emergency care.
Nurs Clin North Am. 2002 Mar;37(1):11-8, v. doi: 10.1016/s0029-6465(03)00079-3.
8
Increasing use of DNR orders in the elderly worldwide: whose choice is it?全球范围内老年患者中“不要复苏”医嘱的使用增加：这是谁的选择？
J Med Ethics. 2002 Oct;28(5):303-7. doi: 10.1136/jme.28.5.303.
9
Decisions not to resuscitate in a Swedish university hospital.瑞典一家大学医院中不进行心肺复苏的决策。
Acta Anaesthesiol Scand. 1997 Nov;41(10):1263-6. doi: 10.1111/j.1399-6576.1997.tb04642.x.
10
Do not resuscitate: an ethical dilemma for the decision-maker.不予复苏：决策者面临的伦理困境。
Br J Nurs. 1998;7(9):543-9. doi: 10.12968/bjon.1998.7.9.5697.

引用本文的文献

1
Technological medicine and the elderly.技术医学与老年人
J R Soc Med. 1998 Jun;91(6):345-6. doi: 10.1177/014107689809100629.
2
Cardiopulmonary resuscitation: who makes the decision?心肺复苏：由谁来做决定？
BMJ. 1994 Jun 25;308(6945):1677. doi: 10.1136/bmj.308.6945.1677.
3
Decisions about cardiopulmonary resuscitation.关于心肺复苏的决策。
BMJ. 1994 Jun 25;308(6945):1653-4. doi: 10.1136/bmj.308.6945.1653.
4
Cardiopulmonary resuscitation in the elderly: patients' and relatives' views.老年人的心肺复苏：患者及亲属的观点
J Med Ethics. 1995 Feb;21(1):39-44. doi: 10.1136/jme.21.1.39.

本文引用的文献

1
Survival after cardiopulmonary resuscitation in the hospital.医院内心肺复苏后的生存情况。
N Engl J Med. 1983 Sep 8;309(10):569-76. doi: 10.1056/NEJM198309083091001.
2
Cardiopulmonary resuscitation of old people.
Lancet. 1983 Jul 30;2(8344):267-9. doi: 10.1016/s0140-6736(83)90244-1.
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Cardiac arrests in a geriatric unit.
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4
Elderly patients' views on cardiopulmonary resuscitation.
Age Ageing. 1986 Nov;15(6):364-8. doi: 10.1093/ageing/15.6.364.
5
Must we always use CPR?我们必须一直使用心肺复苏术吗？
N Engl J Med. 1987 Nov 12;317(20):1281-5. doi: 10.1056/NEJM198711123172009.
6
Resuscitation from cardiopulmonary arrest. Training and organization. A report of the Royal College of Physicians.心肺骤停复苏。培训与组织。皇家内科医师学院报告。
J R Coll Physicians Lond. 1987 Jul;21(3):175-82.
7
Ethics and communication in do-not-resuscitate orders.
N Engl J Med. 1988 Jan 7;318(1):43-6. doi: 10.1056/NEJM198801073180109.
8
ABC of resuscitation. The ethics of resuscitation.复苏ABC。复苏的伦理学。
Br Med J (Clin Res Ed). 1986 Jul 19;293(6540):189-90. doi: 10.1136/bmj.293.6540.189.
9
Outcomes of cardiopulmonary resuscitation in the elderly.老年人心肺复苏的结果
Ann Intern Med. 1989 Aug 1;111(3):199-205. doi: 10.7326/0003-4819-111-3-199.
10
Pre-arrest morbidity and other correlates of survival after in-hospital cardiopulmonary arrest.院内心脏骤停前的发病率及生存的其他相关因素。
Am J Med. 1989 Jul;87(1):28-34. doi: 10.1016/s0002-9343(89)80479-6.