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知情同意:颈动脉内膜切除术应披露的风险程度?

Informed consent: what level of risk to disclose with carotid artery endarterectomy?

机构信息

Division of Vascular Surgery, London Health Sciences Centre, and The University of Western Ontario, London, Ontario, Canada.

出版信息

J Vasc Surg. 2010 Jun;51(6):1548-9. doi: 10.1016/j.jvs.2010.03.014. Epub 2010 Apr 24.

Abstract

You are asked to see a 65-year-old man with an asymptomatic high-grade carotid artery stenosis. He is otherwise quite healthy, is receiving appropriate medical management, and has no contraindications for surgery. You recommend a carotid endarterectomy (CEA) as the best prophylactic measure against stroke. During the informed consent process, the patient asks for a specific estimate of the risks. What specific level of risk should you quote to your patient?

摘要

现邀请您为一位无症状的高等级颈动脉狭窄的 65 岁男性患者进行诊治。他的其他方面都很健康,正在接受适当的药物治疗,且无手术禁忌证。您建议颈动脉内膜切除术(CEA)作为预防中风的最佳措施。在知情同意过程中,患者要求具体估计风险。您应该向患者报出何种具体风险水平?

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