关于出生缺陷临床干预的决策与思考.pdfVIP

关于出生缺陷临床干预的决策与思考 肖 立①厉碧荣④ 摘要：出生缺陷是婴儿死亡、儿童和成人残疾的主要原因之一。不仅给社会带来巨大经济损 失，同时还给家庭和个人带来了精神、道义负担以及痛苦。在其临床干预的决策上临床医生 必须从以下三个方面努力：(1)丰富相关知识，把握科技发展动态，努力提高产前诊断正确率 并对病人进行科学的引导；(2)遵守国家法律法规的前提下尊重个人意愿；(3)尊重医学伦理 学的同时尊重国情。从而最大程度地减少或避免其给国家、社会和家庭带来的损失，同时消 除医患纠纷，创造和谐的医疗环境。 关键词：出生缺陷，临床干预，决策与思考 中图分类号：R714，5文献标识码：A Decisionand aboutClinicInterveneofBirthDefectXIAOLi。LI MakingStrategic Thinking inShenzhen，Shenzhen518028。China Bi—tong．砒fCHHospital Abstract：Birth oneofthemaincauseoffetal ofchildrenand Itnot eco— defect(BD)is death、disability adultso onlybdnggreat tOmakebest nomiclosesto also moralandmental to andindividual．Inorder society，butincreasinggreat burden，sufferingfamily forour of shouldmake effortsfromthree strategicdecision clinicalinterveneBD-clinician great aspects about recent inscienceand our leveland scientific knowledgeBD。graspingdevelopments technology。improvingdiagnosis providing for of thelaw Our COn— onthebasis andregulationof country；(3)Gi,，ing guidepatient；(2)Respectingpersonalaspiration obeying siderationethicsandnationalconditions．Thustothelowestleveleven thelosesofOur toboth reducing avoiding and betweendoctorand aharmoniousenvironmentforourclinicwork． family，eliminatingdispute patient，creating Words：Birth decisionand Key Defect，clinicalintervene，makin