极限生存状态下新生儿复苏的伦理与实践：国际视角
The ethics and practice of neonatal resuscitation at the limits of viability: an international perspective.
作者信息
Fanaroff Jonathan M, Hascoët Jean-Michel, Hansen Thor Willy Ruud, Levene Malcolm, Norman Mikael, Papageorgiou Apostolos, Shinwell Eric, van de Bor Margot, Stevenson David K
机构信息
Department of Pediatrics and the Rainbow Center for Pediatric Ethics, Case Western Reserve University School of Medicine, Cleveland, OH, USA.
出版信息
Acta Paediatr. 2014 Jul;103(7):701-8. doi: 10.1111/apa.12633. Epub 2014 Apr 3.
UNLABELLED
Premature infants at the limits of viability raise difficult ethical, legal, social and economic questions. Neonatologists attending an international Collegium were surveyed about delivery room behaviour, and the approach taken by selected countries practicing 'modern' medicine was explored.
CONCLUSION
There were strong preferences for comfort care at 22 weeks and full resuscitation at 24 weeks. Resuscitation was a grey area at 23 weeks. Cultural, social and legal factors also had a considerable impact on decision-making.
未标注
处于生存极限的早产儿引发了棘手的伦理、法律、社会和经济问题。对参加国际学院的新生儿科医生进行了关于产房行为的调查，并探讨了一些实行“现代”医学的国家所采取的方法。
结论
在22周时强烈倾向于舒适护理，在24周时倾向于全力复苏。在23周时复苏是一个灰色地带。文化、社会和法律因素对决策也有相当大的影响。
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