Bier H
Universitäts-HNO-Klinik Düsseldorf.
HNO. 1994 Jun;42(6):340-3.
In patients suffering from advanced or recurrent cancers that are no longer amenable to curative treatment, palliation and symptomatic care have to take the place of cure. In such cases, palliation aims at relief of pain, alleviation of functional disabilities and restoration of mental and social balance. Since the clinicians effort is concentrated on the control of symptoms of uncontrollable disease, decisions have to be made concerning the relative value of the various methods available for treatment and support in the individual patient. Criteria for the physician's decision-making are important parameters in any approach to the patient with incurable cancer and have particular significance in caring for terminal disease.
对于患有晚期或复发性癌症且不再适合进行根治性治疗的患者，姑息治疗和对症护理必须取代治愈性治疗。在这种情况下，姑息治疗旨在缓解疼痛、减轻功能障碍以及恢复心理和社会平衡。由于临床医生的精力集中在控制无法治愈疾病的症状上，因此必须针对个体患者，就各种可用治疗和支持方法的相对价值做出决策。医生决策的标准是任何针对无法治愈癌症患者的治疗方法中的重要参数，在终末期疾病的护理中具有特殊意义。
