Borasio G D, Gelinas D F, Yanagisawa N
Department of Neurology, Ludwig-Maximilians-Universität, Klinikum Grosshadern, München, Germany.
J Neurol. 1998 Aug;245 Suppl 2:S7-12; discussion S29. doi: 10.1007/s004150050641.
Mechanical ventilation is known to be an effective means of relieving symptoms of chronic hypoventilation and prolonging life in patients with amyotrophic lateral sclerosis (ALS). Various methods of mechanical ventilation are available to patients with ALS. However, attitudes towards mechanical ventilation in ALS vary widely across different cultures, and even within a given medical system. This article describes differences and similarities between a North American, a European and a Japanese approach, based on the respective medical and cultural traditions. The common goal is to provide optimal palliative care to patients with ALS.
机械通气是缓解慢性通气不足症状和延长肌萎缩侧索硬化症（ALS）患者生命的有效手段。ALS患者可采用多种机械通气方法。然而，不同文化背景下，甚至在同一医疗体系内，人们对ALS患者机械通气的态度差异很大。本文基于各自的医学和文化传统，描述了北美、欧洲和日本在这方面的差异与相似之处。共同目标是为ALS患者提供最佳的姑息治疗。
