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在“意向治疗”的边缘进行输血:高龄患者和姑息治疗中的一个争议。

Transfusion at the border of the "intention-to-treat", in the very aged person and in palliative care: A debate.

机构信息

INSERM_U1059, Faculty of medicine of Saint-Etienne, University of Lyon, Saint-Étienne, France.

出版信息

Transfus Clin Biol. 2021 Nov;28(4):367-369. doi: 10.1016/j.tracli.2021.08.350. Epub 2021 Aug 28.

DOI:10.1016/j.tracli.2021.08.350
PMID:34464710
Abstract

In both palliative care and in the very aged person i.e. at the end of life, transfusion aims at bringing supportive care; it has indeed no intention to treat. It can occasionally be compassionate as to bring oxygen to a patient or a resident in nursing home wishing to enjoy some exercise or entertainment. Transfusion in this condition is not consensual, for reasons that are medical and/or societal. The present essay aims at discussing the main options to provide transfusion in such extreme, though non-exceptional, conditions.

摘要

在姑息治疗和非常高龄的人群中,即生命末期,输血的目的是提供支持性护理;它确实不是为了治疗。它偶尔可以出于同情,为希望享受一些运动或娱乐的患者或养老院居民提供氧气。在这种情况下,输血不是自愿的,原因是医疗和/或社会方面的。本文旨在讨论在这种极端但非例外的情况下提供输血的主要选择。

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