关于心胸重症监护病房的伦理思考

Ethical Thinking about CTICU

心胸重症监护病房 (CardiothoracicIntensiveCareUint,CTICU)是集中收治危重心肺血管疾病病人的场所。在CTICU中 ,由于拥有技术精良的医护人员和先进的仪器设备 ,因此许多经历危险和复杂心肺手术的病人 ,甚至一些垂死的病人均能获得及时精心的治疗和加强监护而收到良好的效果。然而当我们从CTICU获益的同时 ,又经常面临一些伦理的挑战 ,其中 ,与CTICU中高新技术应用和放弃治疗或手术有关的伦理冲突最具代表性。

CTICU is a place in which many patients with critical cardiothoracic and vascular disease are centered. Owning skillful medical underwent complex and dangerous cardiopulmonary operation and the patients underwent complex and dangerous cardiopulmonary operation and the dying can get immediately effective treatment and intensive care as well as good effects. HOwever, We often face some new ethical challenge in which ethical conflicts about use of high-new technology and abandoning treatment or surgery are the most typical while we hae gotten interests in CTICU. This paper is to do somw discussion about the ethical problem and the ethical criterions according to clinical characteristics in CTICU.