伦理圆桌辩论：患有严重脑损伤及潜在脑肿瘤的儿童
Ethics roundtable debate: child with severe brain damage and an underlying brain tumour.
作者信息
Gunn Scott, Hashimoto Satoru, Karakozov Michael, Marx Thomas, Tan Ian K S, Thompson Dan R, Vincent Jean-Louis
机构信息
Department of Critical Care Medicine, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
出版信息
Crit Care. 2004 Aug;8(4):213-8. doi: 10.1186/cc2909. Epub 2004 Jun 30.
Abstract
A young person presents with a highly malignant brain tumour with hemiparesis and limited prognosis after resection. She then suffers an iatrogenic cardiac and respiratory arrest that results in profound anoxic encephalopathy. A difference in opinion between the treatment team and the parent is based on a question of futile therapy. Opinions from five intensivists from around the world explore the differences in ethical and legal issues. A Physician-ethicist comments on the various approaches.
摘要
一名年轻人患有高度恶性的脑肿瘤，伴有偏瘫，切除术后预后有限。随后，她发生了医源性心脏和呼吸骤停，导致严重的缺氧性脑病。治疗团队和家长之间的意见分歧基于无效治疗的问题。来自世界各地的五名重症监护专家探讨了伦理和法律问题上的差异。一位医生伦理学家对各种方法进行了评论。
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