医疗决策与风险选择：血液制品感染艾滋病毒和丙型肝炎病毒的心理及法医学后果
Medical decision making and risky choices: psychological and medicolegal consequences of HIV and HCV contamination of blood products.
作者信息
Riva S, Del Sordo S, Genovese U, Pravettoni G
机构信息
Department of Oncology and Hemato-oncology, University of Milan, Italy.
FOLSATEC (Foundations & Ethics of the Life Sciences) PhD School, University of Milan, Milan, Italy.
出版信息
HIV AIDS (Auckl). 2017 Aug 24;9:161-165. doi: 10.2147/HIV.S137419. eCollection 2017.
AIMS
The overall goal of this article is to make a scientific comment about the psycho-social consequences of hemophilia patients affected by human immunodeficiency virus (HIV) and/or hepatitis C virus (HCV) and to point out the related medicolegal issues.
METHODS
This commentary takes into account some published evidences about the current scenario of hemophilia patients infected by HIV and/or HCV who received contaminated blood products in the late 1970s through 1985.
RESULTS
Several psychological and medicolegal consequences are related with HIV and HCV contamination of blood products. A multidisciplinary approach is needed to treat all the difficulties experienced by these patients and to ensure good clinical decisions in medical practice.
CONCLUSION
The literature on the psychosocial functioning of hemophilia patients with human HIV and HCV infection offers a number of implications, including medicolegal issues, that can be discussed for guaranteeing a good level of care and safeguard of this group of patients.
目的
本文的总体目标是对感染人类免疫缺陷病毒（HIV）和/或丙型肝炎病毒（HCV）的血友病患者的心理社会后果作出科学评论，并指出相关的法医学问题。
方法
本评论考虑了一些已发表的证据，这些证据涉及20世纪70年代末至1985年期间接受受污染血液制品的感染HIV和/或HCV的血友病患者的当前情况。
结果
血液制品的HIV和HCV污染会带来一些心理和法医学后果。需要采用多学科方法来处理这些患者所经历的所有困难，并确保医疗实践中的良好临床决策。
结论
关于感染HIV和HCV的血友病患者心理社会功能的文献提出了许多影响因素，包括法医学问题，这些因素可用于讨论以确保为这组患者提供良好的护理水平并加以保护。
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