临终时的临床辅助营养与水化
Clinically assisted nutrition and hydration at the end of life.
作者信息
Davies Andrew
机构信息
Trinity College Dublin, School of Medicine, Dublin, Ireland; University College Dublin, School of Medicine, Health Sciences Centre, Belfield, Dublin, Ireland; Our Lady's Hospice & Care Services, Academic Department of Palliative Medicine, Harold's Cross, Dublin, Ireland.
出版信息
Clin Med (Lond). 2025 May 8;25(4):100323. doi: 10.1016/j.clinme.2025.100323.
The initiation, continuance or discontinuance of clinically assisted hydration and nutrition are some of the most challenging decisions in patients near the end of life. This article reviews the limited evidence to support or otherwise these medical treatments, and provides an overview of relevant clinical practice guidance. Essentially, decisions need to be individualised, and importantly regularly reviewed to ensure that the objectives of treatment are being achieved.
启动、持续或停止临床辅助的水化和营养支持，是临终患者面临的一些最具挑战性的决策。本文回顾了支持或不支持这些医学治疗的有限证据，并概述了相关的临床实践指南。本质上，决策需要个体化，并且重要的是要定期进行评估，以确保治疗目标得以实现。
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