脑死亡:从医学理念转变到医疗习惯转变

Brain death:from the transformation of medical concept to the change of medical practice

临床医师实施死亡判定,通常历经学习死亡理念,掌握死亡判定技能和纪录死亡判定结果三个步骤,而每一过程均需随着医学科学的进步而转变。脑死亡理念转变是“脑功能不可逆转”最新认知的建立和形成,这一过程需要基于公认标准的理论学习完成。脑死亡判定技能转变是“脑死”判定最新技能的学习和掌握,这一过程需要基于专项技术的再学习和再培训完成。脑死亡纪录转变是脑死亡判定结果规范化纪录的习惯养成,这一过程需要基于病例质量控制的可持续改进完成。三个步骤的逐一推进将加快中国脑死亡判定进程。

The implementation of death determination by clinicians usually involves three steps:learning the concept of death,mastering the skills of death determination,and recording the results of death determination.Each process needs to be changed with the progress of medical science.The transformation of brain death concept is the establishment and formation of the latest cognition of"irreversible brain function",which needs to be completed based on the theoretical learning of recognized standards.The transformation of brain death determination is the learning and mastering of the latest skills of brain death determination,which requires relearning and retraining based on special technologies.The transformation of brain death determination is the habit formation of standardized records of brain death judgement results,which needs to be completed based on the continuous improvement of case quality control.The gradual advancement of the three steps will accelerate the process of determining brain death in China.