医患双方对中晚期肺癌在EICU的治疗抉择  

Treatment Decisions of Doctors and Patients on Advanced Lung Cancer in EICU

作　　者：白钰[1] 张铎龄 崔晓菲 BAI Yu;ZHANG Duo-ling;CUI Xiao-fei(Chest Surgery,The Second Affiliated 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胸外科,辽宁大连116027 [2]大连医科大学附属第二医院发展规划与质量管理部,辽宁大连116027 [3]大连医科大学附属第二医院急诊重症监护室,辽宁大连116027

出　　处：《医学与哲学》2023年第3期55-58,74,共5页Medicine and Philosophy

基　　金：2022年吴阶平医学基金会临床科研专项资助基金项目(320.6750.2022-18-10)。

摘　　要：急诊重症监护室收治的肺癌中晚期患者往往因突发的危重并发症而打乱既往的抗肿瘤计划,因其病情特点呈现一定的可逆性,救治效果或好于传统终末期患者,家属对治疗的态度也更为积极,这些均不同于以往肿瘤自然进程发展下的终末期患者。从生存率及生存质量两个方面来着重探讨此类患者在急诊重症监护室中治疗能否获益,以及在救治患者的过程中,患者家属及医生对待放弃治疗时的矛盾心理及产生原因,并将就此问题提出尊严死教育的重要性,提出建立健全撤除生命支持系统的具体实施方案。Sudden and critical complications of patients with advanced lung cancer admitted to the emergency intensive care unit(EICU)often disrupt the previous anti-tumor plan.They differ from end-stage patients with the natural development of cancer,because their conditions are reversible to some extent,the treatment effect may be better than that of the traditional end-stage patients,and their families often have more positive attitudes towards the treatment.This article focuses on whether such patients can benefit from treatment in EICU from two aspects of survival rate and quality of life.It also reveals the patients'family and doctors are ambivalent about abandoning treatment and the causes of it.It is suggested to promote education of death with dignity,and builds specific implementation plan for the removal of life support systems.

关 键 词：中晚期肺癌 急诊重症监护室 尊严死 撤除生命支持系统 

分 类 号：R-05[医药卫生]