| 对新冠病毒肺炎危重症患者引入缓和医疗的伦理论证 |
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| 引用本文： | 宁晓红, 雷瑞鹏, 贾平, 张迪. 2020. 对新冠病毒肺炎危重症患者引入缓和医疗的伦理论证. 医学与哲学, 41(8): 17-21. doi: 10.12014/j.issn.1002-0772.2020.08.04 |
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| 作者姓名： | 宁晓红 雷瑞鹏 贾平 张迪 |
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| 作者单位： | 1. 中国医学科学院北京协和医学院北京协和医院老年医学科 北京 100032;; 2. 华中科技大学生命伦理学研究中心 湖北武汉 430074;; 3. 中国医学科学院北京协和医学院人文和社会科学学院 北京 100730 |
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| 基金项目： | 2016年国家社会科学基金青年项目(16CZX063) 2019年北京协和医学院教育教学改革项目(2019zlgc0119) |
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| 摘 要： | 新型冠状病毒肺炎尚无治疗特效药和疫苗。在继续加强防控的同时,把有限的资源优先放在探索对重症和危重症患者的支持性治疗,积极建立和完善对重症、危重症患者及其家属的缓和医疗等方面,有利于患者群体利益最大化,经得起伦理辩护。缓和医疗有助于改善患者预后,降低住院病死率,有效缓解患者濒死痛苦;对医患双方而言,如果死亡已无可避免,帮助临终者走得平安、少些痛苦,是医学对患者最后的人文关怀。
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| 关 键 词： | 新型冠状病毒肺炎 痛苦 缓和医疗 伦理 共同决策 |
| 收稿时间： | 2020-03-24 |
| 修稿时间： | 2020-04-09 |
Ethical Arguments on Integrating Palliative Care into Treatment for Critically Ill Patients with Coronavirus Disease 2019 |
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| NING Xiao-hong, LEI Rui-peng, JIA Ping, ZHANG Di. 2020. Ethical Arguments on Integrating Palliative Care into Treatment for Critically Ill Patients with Coronavirus Disease 2019. Medicine & Philosophy, 41(8): 17-21. doi: 10.12014/j.issn.1002-0772.2020.08.04 |
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| Authors: | NING Xiao-hong LEI Rui-peng JIA Ping ZHANG Di |
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| Affiliation: | Department of Geriatrics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100032, China |
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| Abstract: | Specific drugs and effective vaccine for coronavirus disease 2019(COVID-19)are not available in the foreseeable future.In the meanwhile of strengthening prevention,supportive treatment for critically ill patients should be given priority.Integrating palliative care into treatment for critically ill patients is ethically justified,which will maximize the interests of patients and their family members,improve the prognosis of patients,and effectively alleviate the pain of those dying.When death is unavoidable,to help patients die peacefully with less pain and suffering,would be the last and best humanistic care in medicine. |
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| Keywords: | COVID-19 pain palliative care ethics shared decision making |
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