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慢性阻塞性肺疾病终末期患者的姑息治疗和临终关怀 被引量：10

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摘要 对慢性阻塞性肺疾病（简称慢阻肺）终末期患者应加强姑息治疗和临终关怀,这是“慢阻肺诊断、处理和预防全球策略”（Global strategy for the diagnosis,management,and prevention of chronic obstructive pulmonary disease,简称慢阻肺全球策略）2013年修订版中提出的新理念[1].随着慢阻肺的病情进展,患者身体状况下降,咳嗽、咳痰、呼吸困难等症状逐渐加重,出现心肺功能不全等合并症,每一次急性加重都可能危及生命.姑息治疗和临终关怀对慢阻肺终末期患者非常重要,有利于解除患者及其家属的身心痛苦,合理使用医疗资源,但长期以来并没有指南提到这个问题,而在诊治过程中,多数临床医生也回避和患者对此进行交流.为此,我们对近年来国内外慢阻肺终末期患者的姑息治疗和临终关怀研究进展及实施现况进行综述,希望有助于理解慢阻肺全球策略中提出的姑息理念和方法.
作者 盖晓燕 贺蓓
机构地区 北京大学第三医院呼吸科
出处 《中华结核和呼吸杂志》 CAS CSCD 北大核心 2014年第4期287-289,共3页 Chinese Journal of Tuberculosis and Respiratory Diseases
关键词 慢性阻塞性肺疾病 疾病终末期 姑息治疗 临终关怀 慢阻肺 患者 PREVENTION diagnosis
分类号 R563.9 [医药卫生—呼吸系统] R459.9 [医药卫生—治疗学]
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参考文献28

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二级参考文献20

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共引文献27

同被引文献114

  • 1慢性阻塞性肺疾病诊治指南(2013年修订版)[J].中国医学前沿杂志（电子版）,2014,6(2):67-80. 被引量：2050
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  • 3蔡珊,陈平,陈燕,刘志军.健康教育对稳定期慢性阻塞性肺疾病患者肺功能及生活质量的影响[J].中南大学学报（医学版）,2006,31(2):189-193. 被引量：22
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引证文献10

二级引证文献54

中华结核和呼吸杂志
2014年 第4期

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