[Withdrawal of life-support from ALS patients in so called totally locked in state: from the viewpoint of clinical ethics].
[Withdrawal of life-support from ALS patients in so called totally locked in state: from the viewpoint of clinical ethics].
复制标题
[在所谓的完全锁定状态下撤回 ALS 患者的生命支持：从临床伦理的角度来看]。
DOI：
10.5692/clinicalneurol.50.1029
复制
发表时间：
2010
期刊：
影响因子：
--
通讯作者：
Tetsurō Shimizu
中科院分区：
文献类型：
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作者：
Tetsurō Shimizu
在日本的情况下，当ALS患者随着疾病的发展变得完全不能向周围的人表达自己时，即当他们处于所谓的“完全锁定状态(TLS)”时，就有关于ALS患者退出生命支持系统(即呼吸系统)的争议。作者立足于他一直发展起来的符合日本文化的临床伦理体系，(1)重新构建了争议中撤回的正当性逻辑，(2)审查了反对正式承认撤回的反对意见，(3)提出了一个他希望争议双方都能接受的适当的决策程序。
In Japanese context, there has been a controversy concerning the withdrawal of life-support, i.e. respiratory system, from ALS patients when, along of the progress of the disease, they have become not able to express themselves at all to people around them, i.e. when they are in so called 'totally locked in state (TLS)'. Basing himself on the system of clinical ethics he has been developing in accord with Japanese culture, the author (1) reconstitutes the logic of justifying the withdrawal in dispute, (2) examines objections against officially recognizing such withdrawal, and (3) proposes an appropriate process of decision making which he hopes to be acceptable to both sides in the controversy.