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[临床急性与急诊医学以及重症医学中的姑息治疗方面:德国重症与急诊医学跨学科协会(DGIIN)、德国麻醉医师协会(DGK)、德国病理医师协会(DGP)、德国医院医师协会(DGHO)、德国营养学会(DGfN)、德国神经重症医学协会(DGNI)、德国胃肠病学协会(DGG)、德国麻醉与重症监护医学协会(DGAI)、德国麻醉与重症监护医学和姑息医学协会(DGINA)及德国姑息医学协会(DGPalliativmedizin)的共识文件]

[Palliative aspects in clinical acute and emergency medicine as well as intensive care medicine : Consensus paper of the DGIIN, DGK, DGP, DGHO, DGfN, DGNI, DGG, DGAI, DGINA and DGPalliativmedizin].

作者信息

Michels Guido, John Stefan, Janssens Uwe, Raake Philip, Schütt Katharina Andrea, Bauersachs Johann, Barchfeld Thomas, Schucher Bernd, Delis Sandra, Karpf-Wissel Rüdiger, Kochanek Matthias, von Bonin Simone, Erley Christiane M, Kuhlmann Susanne D, Müllges Wolfgang, Gahn Georg, Heppner Hans Jürgen, Wiese Christoph H R, Kluge Stefan, Busch Hans-Jörg, Bausewein Claudia, Schallenburger Manuela, Pin Martin, Neukirchen Martin

机构信息

Zentrum für Notaufnahme, Krankenhaus der Barmherzigen Brüder Trier, Medizincampus Trier der Universitätsmedizin Mainz, Nordallee 1, 54292, Trier, Deutschland.

Medizinische Klinik 8, Paracelsus Medizinische Privatuniversität & Universität Erlangen-Nürnberg, Klinikum Nürnberg-Süd, Nürnberg, Deutschland.

出版信息

Z Gerontol Geriatr. 2023 Aug;56(5):382-387. doi: 10.1007/s00391-023-02213-z.

Abstract

The timely integration of palliative medicine is an important component in the treatment of various advanced diseases. While a German S‑3-guideline on palliative medicine exists for patients with incurable cancer, a recommendation for non-oncological patients and especially for palliative patients presenting in the emergency department or intensive care unit is missing to date. Based on the present consensus paper, the palliative care aspects of the respective medical disciplines are addressed. The timely integration of palliative care aims to improve quality of life and symptom control in clinical acute and emergency medicine as well as intensive care.

摘要

姑息医学的及时融入是各种晚期疾病治疗的重要组成部分。虽然德国有针对无法治愈的癌症患者的姑息医学S-3指南,但迄今为止,对于非肿瘤患者,尤其是在急诊科或重症监护病房就诊的姑息患者,尚无相关建议。基于本共识文件,探讨了各医学学科的姑息治疗方面。姑息治疗的及时融入旨在改善临床急症医学以及重症监护中的生活质量和症状控制。

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