急危重症患者的诊治方略:技术与人文兼备  

Medical Care of Critically Ill Patients:Both Technology and Humanity are Required

作　　者：骆洁[1] 单凯[1] 孙艳辉 徐玢[1] 郭伟[1] LUO Jie;SHAN Kai;SUN Yan-hui(Department of Emergency,Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China)

机构地区：[1]首都医科大学附属北京天坛医院急诊科,北京100070

出　　处：《医学与哲学》2020年第6期54-56,共3页Medicine and Philosophy

摘　　要：急危重症患者随时可能有生命危险,医务人员往往只关注于患者的生命体征、脏器功能以及诊疗方案。因此,很容易忽略了患者精神和心理层面的需求,会带来一系列新的临床问题及心理创伤。“早期的舒适化镇痛、最小化的镇静和最大的人文关怀”概念真正以急危重症患者为中心,站在了生物心理社会医学模式的制高点,提出了一个整体性框架,医护结合临床实际可以最大化丰富其内涵,让患者在接受高精尖医疗技术诊治的同时,获得更全面的照护。Critically ill patients may be in danger of life at any time,and the medical staffs tend to focus on the vital signs,organ function,and strategy for diagnosis and management.Therefore,the mental and psychological needs of patients are often neglected,which will bring a series of new clinical problems and psychological trauma.The concept of"early comfort using analgesia,minimal sedation and maximal humanistic care"is really centered on the critical patients,standing at the commanding point of the biological-psychological-social medical model,and puts forward a integrated framework,which can maximize the richness of the connotation of medical-nursing care combining with clinical practice,so that patients can receive more comprehensive care while receiving the treatment of high-precision medical technology.

关 键 词：急危重症 人文关怀 医疗技术 镇痛 镇静 

分 类 号：R-0[医药卫生]