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On withholding nutrition and hydration in the terminally ill: has palliative medicine gone too far?论临终患者的营养与水分 withholding：姑息医学是否做得太过？ （注：这里“withholding”直译为“ withholding”不太好理解其准确意思，可能是“ withholding nutrition and hydration”整体意思是“停止提供营养和水分” ，可根据实际准确含义对译文进行更优化调整）
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2
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论临终患者的营养与水分 withholding：姑息医学是否做得太过？ （注：这里“withholding”直译为“ withholding”不太好理解其准确意思，可能是“ withholding nutrition and hydration”整体意思是“停止提供营养和水分” ，可根据实际准确含义对译文进行更优化调整）

On withholding nutrition and hydration in the terminally ill: has palliative medicine gone too far?

作者信息

Craig G M

出版信息

J Med Ethics. 1994 Sep;20(3):139-43; discussion 144-5. doi: 10.1136/jme.20.3.139.

DOI:10.1136/jme.20.3.139
PMID:7527863
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1376497/
Abstract

This paper explores ethical issues relating to the management of patients who are terminally ill and unable to maintain their own nutrition and hydration. A policy of sedation without hydration or nutrition is used in palliative medicine under certain circumstances. The author argues that this policy is dangerous, medically, ethically and legally, and can be disturbing for relatives. The role of the family in management is discussed. This issue requires wide debate by the public and the profession.

摘要

本文探讨了与身患绝症且无法自主维持营养和水分摄入的患者管理相关的伦理问题。在某些情况下，姑息治疗中会采用不提供水分或营养的镇静政策。作者认为，这一政策在医学、伦理和法律上都是危险的，而且可能会让亲属感到不安。文中讨论了家庭在管理中的作用。这个问题需要公众和专业人士展开广泛辩论。