Dhillon Paul, McCarthy Sinead, Gibbs Michael, Sue Kyle
Department of Academic Family Medicine, University of Saskatchewan, Regina, Saskatchewan, Canada.
Save the Children, Cork, Ireland.
BMJ Case Rep. 2015 Sep 10;2015:bcr2015211384. doi: 10.1136/bcr-2015-211384.
We describe the treatment course and last days of a 33-year-old man from Western Africa who died from Ebola-related complications. Specifically, the issues around declaring a patient palliative in a low resource environment while dealing with a largely unknown entity, Ebola viral disease, make this an important discussion-stimulating case. The patient presented as a confirmed Ebola-positive case from a peripheral holding centre and then proceeded to deteriorate under our care. Significant neurological decline was noted and the prognosis was felt to be grim by certain providers. Other providers disagreed and a number of treatment algorithms were started and stopped during the patient's last days. He succumbed to Ebola complications after 17 days under our care.
我们描述了一名来自西非的33岁男子的治疗过程及最后时日，他死于埃博拉相关并发症。具体而言，在资源匮乏的环境中，面对一种很大程度上尚不明确的疾病——埃博拉病毒病，宣布对患者进行姑息治疗时所涉及的诸多问题，使这个病例成为一个引发重要讨论的案例。该患者从一个外围收治中心送来时被确诊为埃博拉阳性，随后在我们的照料下病情恶化。观察到其神经功能显著衰退，一些医疗人员认为预后严峻。其他医疗人员则有不同看法，在患者生命的最后几天里，启动并停止了多种治疗方案。在我们照料17天后，他最终死于埃博拉并发症。
