Varon Joseph, Marik Paul E
Department of Internal Medicine, University of Texas Health Science Center at Houston, Houston, Texas, USA.
Am J Hosp Palliat Care. 2007 Jun-Jul;24(3):224-9. doi: 10.1177/1049909107301485.
Cancer is the second leading cause of death in the United States, with most of these deaths taking place in the hospital setting. Discussions on end-of-life care and on cardiopulmonary resuscitation in particular are an important component in the management of patients with cancer. Clinical decision making and respect for patient autonomy dictate that health care providers provide their patients with accurate information on the expected outcomes of cardiopulmonary resuscitation. This article reviews those factors that affect the outcome of cardiopulmonary resuscitation in patients with cancer and provides recommendations on obtaining do-not-resuscitate orders in these patients.
癌症是美国第二大死因，其中大多数死亡发生在医院环境中。关于临终关怀，尤其是心肺复苏的讨论是癌症患者管理的重要组成部分。临床决策和对患者自主权的尊重要求医疗保健提供者向患者提供关于心肺复苏预期结果的准确信息。本文回顾了影响癌症患者心肺复苏结果的因素，并就这些患者的“不要复苏”医嘱的获取提供了建议。
