急诊科患者不复苏应用现状及决策影响因素

Status quo of DNR application and influencing factors of decision-making in emergency department patients

随着我国人口老龄化和疾病谱的改变,高龄、慢性病终末期、晚期肿瘤及脑血管意外等患者急诊科就诊数量逐渐增多,急诊临终患者生命质量逐渐受到重视。本文通过对国内外急诊科不复苏(DNR)相关文献进行回顾,介绍国内外急诊科DNR应用现状及决策影响因素,以期为我国急诊科DNR应用和实践提供借鉴和参考。

With the aging of the population and the change of disease spectrum in China,the number of emergency department patients at the elderly,chronic end-stage,advanced tumor and cerebrovascular accident is increasing gradually,and the quality of life in emergency end of life patients is getting more and more attention.This paper reviews the relevant literature of"do not resuscitate"(DNR)in emergency department at home and abroad,introduces the current status of DNR application and the influencing factors of decision-making in emergency department at home and abroad,in order to provide reference for the application and practice of DNR in emergency department in China.