Departments of Neurological Surgery (N.A.S., J.R.C., B.S.J., M.B.P.), Northwestern University Feinberg School of Medicine, Chicago, IL.
University of Utah School of Medicine, Salt Lake City (J.M.C.).
Stroke. 2022 Aug;53(8):2673-2682. doi: 10.1161/STROKEAHA.121.038493. Epub 2022 Jun 15.
Stroke is a major cause of morbidity and mortality. Neurosurgical decompression is often considered for the treatment of malignant infarcts and intraparenchymal hemorrhages, but this treatment can be frought with ethical dilemmas. In this article, the authors outline the primary principles of bioethics and their application to stroke care, provide an overview of key ethical issues and special situations in the neurosurgical management of stroke, and highlight methods to improve ethical decision-making for patients with stroke. Understanding these ethical principles is essential for stroke care teams to deliver appropriate, timely, and ethical care to patients with stroke.
中风是发病率和死亡率的主要原因。神经外科减压通常被认为是治疗恶性梗死和脑实质出血的方法，但这种治疗可能伴随着伦理困境。本文作者概述了生命伦理学的基本原则及其在中风治疗中的应用，介绍了中风神经外科治疗中的关键伦理问题和特殊情况，并强调了改善中风患者伦理决策的方法。了解这些伦理原则对于中风护理团队为中风患者提供适当、及时和合乎伦理的护理至关重要。
