重症老年医疗:技术限度、身心特质、治疗目标的相称与平衡  

Critical Geriatric Care:Technical Limits,Physical and Mental Characteristics,and Balance of Treatment Objectives

作　　者：王纪文[1] 朱宁[1] 杨丽[2] WANG Ji-wen;ZHU Ning;YANG Li(Department of Cardiovascular Medicine,The Second Hospital of Dalian Medical University,Dalian 116027,China)

机构地区：[1]大连医科大学附属第二医院心血管内科,辽宁大连116027 [2]大连医科大学附属第二医院重症医学科,辽宁大连116027

出　　处：《医学与哲学》2021年第16期10-13,共4页Medicine and Philosophy

摘　　要：随着社会老龄化的加剧,医院里高龄老年患者越来越多,危重症老年患者更是比比皆是。危重老年患者的救治要有积极的态度,但是治疗需要适度;老年肿瘤晚期患者的治疗、医疗技术的实施要有限度;老年患者的手术及有创操作更要个体化考虑,区别于其他患者群;老年患者合并焦虑、抑郁会严重影响医疗的结果,要给予充分重视及干预;老年终末期患者治疗终止的决策不全部由家属决定,患者应有一定决策权。总之,老年危重症患者的治疗是结合生理学、心理学、社会学的系统治疗。With the aging of the society,there are more and more elderly patients in the hospitals,especially elderly critically ill patients.The attitude towards treatment of elderly critically ill patients should be positive,but the treatment needs to be appropriate.The treatment of elderly patients with advanced cancer and implementation of medical technologies should be reasonable.Operations and invasive techniques for elderly patients should be considered individually,which is different from that of other patient populations.Medical outcome can be seriously affected on elderly patients with anxiety and depression,so full attention and intervention should be given.The decision of terminating treatment for elderly patients should not always be decided solely by the family members,patients should be endowed with decision-making power.In short,the treatment of elderly critically ill patients is a systematic treatment combining physiology,psychology and sociology.

关 键 词：重症老年医疗 医疗干预 临床决策 

分 类 号：R-02[医药卫生]