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心脏植入式电子设备:生命末期的生物伦理学与管理问题

Cardiac implantable electrical devices: bioethics and management issues near the end of life.

作者信息

Abi-Samra Freddy M

机构信息

Director, Cardiac Electrophysiology Laboratories, Department of Cardiology, Ochsner Clinic Foundation, New Orleans, LA.

出版信息

Ochsner J. 2011 Winter;11(4):342-7.

Abstract

Cardiac implantable electrical devices (CIEDs) are extremely sophisticated modern devices that provide patients with many beneficial effects, including increased survival and enhanced quality of life. CIEDs, however, may complicate and unnecessarily prolong the process of dying from terminal illnesses. A rational plan for CIED deactivation near the end of life should therefore be carefully drawn up well in advance by the patient in concert with loved ones and treating physicians.

摘要

心脏植入式电子设备(CIEDs)是极其复杂的现代设备,能给患者带来诸多益处,包括提高生存率和改善生活质量。然而,CIEDs可能会使晚期疾病患者的死亡过程变得复杂且不必要地延长。因此,患者应在生命末期与亲人及主治医生提前精心制定合理的CIED停用计划。

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