急诊室濒死病人临床诊治决策的影响因素

Affecting Factors of Deciding Diagnosis and Treatment in Dying Patients in Emergency Department

正确、合理的临床决策为病人提供理想的诊疗方案。在急诊室濒死病人的诊治过程中,急诊医生应本着以人为本的原则,根据病情的轻重缓急,抓住重点进行紧急处理。其中,病人疾病的性质与预后、疾病严重程度、医生技术水平、医院护理水平、医院的医疗设备与管理水平、诊治费用、医患关系、家属对待诊治的态度、医德医风、政策法规等对医生的临床诊治决策均有不同程度的影响。

Correct and reasonable clinical decision would provide an ideal management for diagnosis and treatment in outpatients. In management of patients in agonal stage in emergency department, the doctors should deal with the critical issues according to severity of the condition on the principle of humanity. The clinical decisions made by doctors for management of patients in agonal stage may be influenced at different degrees on many factors including the nature and prognosis of the disease, severity of the condition, physician＇s skills, nursing, medical equipments and administrative quality, the costs for medical service, the relationship between the doctors and patients, attitude of the relatives to the clinical managements, doctors＇ morale and manner of behaving as well as medical policy and rule of law.