Sahm S W
Medizinischen Klinik II, J.W. Goethe-Universität, Frankfurt, Deutschland.
Diskussionsforum Med Ethik. 1992 Oct(8):L-LI.
There is no substantial difference in the prognosis of cancer patients after intensive care compared to certain other groups of patients except for the tumor patient with major respiratory problems. Hence, the general refusal of intensive care for cancer patients is not justified. Rather indication for intensive care needs careful examination of several aspects including medical science and ethics. Particular ethical problems arising in intensive care for cancer patients can be reduced by open communication between the medical team and the patient as well as between the medical specialists.
与某些其他患者群体相比，除了有严重呼吸问题的肿瘤患者外，癌症患者在接受重症监护后的预后没有实质性差异。因此，普遍拒绝为癌症患者提供重症监护是没有道理的。相反，重症监护的适应症需要从医学和伦理等几个方面进行仔细审查。通过医疗团队与患者之间以及医学专家之间的开放沟通，可以减少癌症患者重症监护中出现的特殊伦理问题。
