Smith E M, Hastie I R
St George's Hospital Medical School, London.
J R Coll Physicians Lond. 1992 Oct;26(4):377-9.
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.
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。