摘要
重度子痫前期是严重的妊娠并发症,因其病程复杂导致不少患者在孕28周前因疾病治疗需要而极早早产。根据现有循证学表明该类患儿存活率极低,卫生经济负担极高。但当今社会,不孕症及习惯性流产频发,来之不易的妊娠对部分家庭来说弥足珍贵。因此,如何寻找患者生育需求与医者临床诊治的平衡点,即循证医学及医学伦理的平衡点是一大难点。通过一典型的重度子痫前期极早早产案例,就其循证医学背景下的临床诊治中的伦理问题进行探讨。
Severe preeclampsia is a serious pregnancy complication. Due to the complex course of the disease,many patients have extreme preterm labor because of the need of disease treatment before 28 weeks of pregnancy.According to the existing evidence-based evidence,it shows that such fetus have an extremely low survival rates and high economic burden. However,in today＇s society,infertility and habitual abortion are frequent,and hard-won pregnancy is precious to some families. Therefore,it is a difficult point to find the balance point of the patient＇s reproductive needs and the doctor＇s clinical diagnosis and treatment,that is,the balance point of evidence-based medicine and medical ethics. This paper discussed the ethical problems in the clinical diagnosis and treatment in the context of evidence-based medicine by a typical case of severe preeclampsia with extreme preterm labor.
作者
庄旭
袁蕙芸
林建华
ZHUANG Xu;YUAN Huiyun;LIN Jianhua(Renji Hospital Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China)
出处
《中国医学伦理学》
2018年第4期481-483,共3页
Chinese Medical Ethics
基金
国家科技部"十二五"支撑计划项目:妊娠合并急危重症救治技术及防控模式研究(2014BAI05B05)
关键词
循证医学
医学伦理
双重效应原则
大局意识
人文意识
Evidence - Based Medicine
Medical Ethics
Double - Effect Principle
Overall Situation Aware-ness
Humanistic Awareness
