Initiating and Withdrawing Life Support
Initiating and Withdrawing Life Support
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启动和撤回生命支持
DOI：
10.1056/nejm198801073180106
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发表时间：
1988
期刊：
影响因子：
--
通讯作者：
T. Raffin
中科院分区：
文献类型：
--
作者：
J. E. Ruark;T. Raffin
在过去的一个世纪里，医生延长寿命的能力发生了戏剧性的变化。一百年前，大多数危重病人只能得到最基本的支持性护理。医生现在可以从大量的干预措施中进行选择，当这些干预措施与针对潜在疾病的有效疗法相结合时，往往会极大地延长生存期。不幸的是，如此巧妙地寻求的额外生活的质量可能从略微可容忍到绝对悲惨。这些考虑强调了明确的道德框架的重要性，以便就所有医疗治疗的开始和撤销作出决定。本文认为是基础性的，也是高级的。
DURING the past century, dramatic changes have occurred in physicians' ability to prolong life. A hundred years ago, little more than rudimentary supportive care could be offered to most critically ill patients. Doctors now choose from a vast array of interventions that, when combined with effective therapies for underlying conditions, often greatly prolong survival. Unfortunately, the quality of the additional life so skillfully sought can range from marginally tolerable to positively miserable. These considerations underscore the importance of a clear ethical framework for making decisions about the initiation and withdrawal of all medical treatments. This paper considers basic and advanced . . .