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Updated: Feb 12, 2026

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对于一个依赖节奏的患者来说,缓解性心脏起器停用
1University College London Hospitals NHS Foundation Trust, London, UK h.petra@nhs.net.
BMJ supportive & palliative care
|February 10, 2026
概括
一个心脏衰竭的脆弱,老年患者的起器在法律上被禁用,允许自然死亡. 患者仍然很舒服,在停止节拍后18小时内平静地去世.
科学领域:
- 心脏病学 心脏病学
- 医学伦理 医学伦理
- 抚慰性护理是一种缓解性护理.
背景情况:
- 老年患者患有严重心力衰竭和三级心房阻塞,依赖于心脏起器.
- 患者要求关闭心脏起器,以便因心脏病理导致自然死亡.
研究的目的:
- 描述患者在终身护理中要求关闭心脏起器的情况.
- 探索停止心脏节拍治疗的伦理和实际考虑.
主要方法:
- 在135天的咨询期之前,法定停用了心脏起器.
- 在停用后提供了包括阿片类药物和二二类药物在内的息治疗.
主要成果:
- 患者经历了胸和缺氧,但最初仍然感到舒适和交谈.
- 在心脏起器停用后18小时,他平静地去世,并进行了息措施.
结论:
- 在终身护理中,合法和道德地取消心脏节拍是可行的.
- 息镇静和症状管理对于在心脏起器停用期间的患者舒适性至关重要.
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