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撤除生命维持干预的伦理学辩护

张迪 宁晓红

张迪, 宁晓红. 撤除生命维持干预的伦理学辩护[J]. 协和医学杂志, 2023, 14(5): 1116-1122. doi: 10.12290/xhyxzz.2022-0332
引用本文: 张迪, 宁晓红. 撤除生命维持干预的伦理学辩护[J]. 协和医学杂志, 2023, 14(5): 1116-1122. doi: 10.12290/xhyxzz.2022-0332
ZHANG Di, NING Xiaohong. Ethical Arguments for Withdrawing Life-sustaining Medical Intervention[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(5): 1116-1122. doi: 10.12290/xhyxzz.2022-0332
Citation: ZHANG Di, NING Xiaohong. Ethical Arguments for Withdrawing Life-sustaining Medical Intervention[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(5): 1116-1122. doi: 10.12290/xhyxzz.2022-0332

撤除生命维持干预的伦理学辩护

doi: 10.12290/xhyxzz.2022-0332
基金项目: 

中国医学科学院北京协和医学院教学改革项目 2019zlgc0119

详细信息
    通讯作者:

    宁晓红, E-mail: ningxh1973@foxmail.com

  • 中图分类号: R-052;R48

Ethical Arguments for Withdrawing Life-sustaining Medical Intervention

Funds: 

Education Reform Projects of Chinese Academic of Medical Sciences & Peking Union Medical College 2019zlgc0119

More Information
  • 摘要: 撤除生命维持干预(life-sustaining medical intervention,LSMI)是临床实践中常见的伦理学问题。本文分别从尊重患者自主性、无效医疗和患者最佳利益三个方面,尝试对临床实践中撤除LSMI的伦理学可辩护性进行梳理和分析,并结合案例提出可操作性建议与对策。笔者认为符合下述任一条件时,撤除LSMI可获得伦理学辩护:(1)患者作出有效同意;(2)LSMI被判定为无效医疗;(3)撤除LSMI符合患者的最佳利益。最后,阐述临床实践中撤除LSMI所面临的挑战及可能的解决途径。
    作者贡献:张迪负责文献检索、论文撰写及修订;宁晓红负责论文选题及修订。
    利益冲突:所有作者均声明不存在利益冲突
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出版历程
  • 收稿日期:  2022-06-15
  • 录用日期:  2022-08-30
  • 网络出版日期:  2022-09-23
  • 刊出日期:  2023-09-30

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