急性脑卒中患者的神经血管内治疗何时应采用姑息治疗？
When Should Neuroendovascular Care for Patients With Acute Stroke Be Palliative?
机构信息
Fellow in neurology at Massachusetts General Hospital and Brigham and Women's Hospital in Boston.
Neuroendovascular fellow and stroke scientist at Massachusetts General Hospital in Boston.
出版信息
AMA J Ethics. 2021 Oct 1;23(10):E783-793. doi: 10.1001/amajethics.2021.783.
Abstract
Noncurative surgeries intended to relieve suffering during serious illness or near end of life have been analyzed across palliative settings. Yet sparse guidance is available to inform clinical management decisions about whether, when, and which interventions should be offered when ischemic stroke and other neurological complications occur in patients whose survival is extended by other novel disease-modifying interventions. This case commentary examines key ethical and clinical considerations in palliative neuroendovascular care of patients with acute stroke.
摘要
旨在缓解重病或生命末期痛苦的非治愈性手术已在姑息治疗环境中进行了分析。然而，当通过其他新型疾病修正干预措施延长生存的患者发生缺血性中风和其他神经并发症时，关于何时以及应提供哪些干预措施的临床管理决策，尚缺乏相关指导。本病例述评探讨了急性中风患者的姑息性神经血管内护理中的关键伦理和临床问题。
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