Schou Rico, Ørding Helle
Vejle Sygehus, Anaestesiafdelingen.
Ugeskr Laeger. 2009 Aug 10;171(33):2295-6.
This case represents an ethical problem in dealing with patients with prolonged stay of treatment and poor prognosis for survival in the context of known under-capacity in intensive care units (ICUs) in Denmark. A young man, diagnosed with paroxysmal nocturnal haemoglobinuria and myelodysplastic syndrome, developed necrotizing fasciitis and died of sepsis after 42 days. The treatment options were exhausted and treatment was eventually limited to antibiotics and fluid therapy, which raises the question; should ICUs be used for palliative care?
在丹麦重症监护病房（ICU）已知床位不足的情况下，该病例代表了在处理治疗时间延长且生存预后不佳的患者时所面临的伦理问题。一名年轻男子被诊断患有阵发性夜间血红蛋白尿和骨髓增生异常综合征，患上了坏死性筋膜炎，并在42天后死于败血症。治疗方案已用尽，最终治疗仅限于抗生素和液体疗法，这就引发了一个问题：ICU是否应用于姑息治疗？
