不能将生命伦理学归结为对生命的爱

Macer先生在《生命伦理学是对生命的爱》一文中提出了对生命伦理学基本理论的不同看法。在Macer看来，生命伦理学的第一原则（或：理论基础、最高信条）就是“爱”，而不是其他的基本伦理原则。看起来似乎对生命的关爱能解决一切伦理问题，真的是这样的吗？     

关于医学专业教育中的伦理课程

1 伦理课程的目标在中国的医学教育中,医学专业为医学生开设了基础课程和临床课程并由此划分为两个阶段,但这两个阶段是一个相互联系和渐进的过程.基础课程在医科大学或学院内进行,临床课程是在医科大学或学院的附属医院或教学医院内完成并直至毕业.伦理课程贯穿在上述两个阶段的始终,甚至延续到毕业后的继续教育.为医学生的伦理课程,包括伦理学教师专门开设的伦理学课程和业务教师在教学过程中的教书育人,两者的共同目标是:①培养医学生具有良好的道德和职业道德,以便医学生建立良好的人际关系,特别是医患关系;②培养医学生分析和解决伦理问题的能力,以便为未来从事医生工作而制定和选择医疗决策奠定基础;③提高医学生对医学高技术引发的伦理问题的敏感性,以便预防实施医学高技术的负面效应.     

重视学科建设是学科发展的关键——山东大学发展医学伦理学学科的经验和体会

在庆祝中国医学伦理学暨生命伦理学研究30周年之际,回顾医学伦理学学科在山东大学发展的历程,认为重视学科建设是学科发展的关键。具体应做到：始终把医学伦理教学视为该学科的基本使命;始终认为医学伦理的科学研究是学科发展的基础;始终坚信人才培养为学科发展注入不竭生命力;始终坚持学术交流,为学科发展开阔视野、扩大影响。     

美国生命伦理学的重镇--肯尼迪伦理学研究所研究访问记

通过记述在美国乔治城大学肯尼迪伦理学研究所做高访研究的整个经历：在那里不仅仅有世界第一大生命伦理学图书馆,更有一批热爱生命伦理学研究的专家教授,他们对待自己的工作研究兢兢业业,对待来访问学习的学者更是全心辅导,以此展示了美国生命伦理学的重镇---肯尼迪伦理学研究所。     

人类胚胎干细胞研究中的伦理学问题

目的 探讨人类胚胎干细胞研究中的伦理学问题。方法 由人类胚胎干细胞研究所引发的伦理学争论及带来的伦理忧患，导出应注意的医学伦理方面的问题。结果 人类胚胎干细胞研究应遵循一定的伦理原则。结论 医学伦理学应规范和引导人类胚胎干细胞研究。     

人类伦理工程初探：兼论医学伦理工程

本文探讨了当代中国社会的经济所有制类型和从绠问题，运用了系统工程的思想方法，设计了“个人－群体－社会”伦理系统，规划了该系统的研究目的，内容方法，定义了“人类伦理工程”指出了“医学伦理工程”人类伦理工程”的重要领域，从而建构起了研究“人类从绠工程”的雏型。     

停止透析疗法的伦理剖析

目的：评价尿毒症病人的透析价值及有关停透的伦理。方法：通过对几个典型病例的分析，探讨ESRD病人的透析价值。结论：随着人们生活水平的提高，人类寿命的延长及科学的进步，尤其是透析技术的发展，使很多尿毒症病人得以过上相对正常的生活，但随之而来透析病人及老年透析病人有逐年增多的趋势，如何评价尿毒症病人的透析价值及有关停透的伦理是肾脏科医生所必须关注的。本文就这方面问题进行探讨。     

法医工作与伦理

在法医学实践中,特别是法医病理学和临床法医学中的尸体检验和活体检验,经常涉及到与伦理有关的问题,因此,从伦理学的角度看法医学,研究法医学很有必要,在法医工作中不仅要有较丰富的法医学知识,法医工作者的行为还要符合伦理学的原则。     

APPLICATION OF LORNOXICAM TO PATIENT-CONTROLLED ANALGESIA IN PATIENTS UNDERGOING ABDOMINAL SURGERIES

FOR anesthesiologis s ,treatingpostoperativepainhas alwaysbeen a problem.Althoughopioidshave been provedtobe effective,theirsideeffectscouldnotbeignored.With thedevelopmentofscienceand pharmacology,many drugs with aspectsof satisfactoryanalgesicefficacyand couldbe welltoleratedby patientshave been developed.And lornoxicamisone of them, which isa non-steroidalanti-inflammatorydrug (NSAID ), with analgesic, anti-infl-ammatory,andantipyreticproperties.Itseliminationhalf-time(3 to 5 hours) isle…     

Dr.Zhang Ren''''s Experience in the Acupuncture Treatment of Different Diseases with the Same Therapeutic Principle

Dr.Zhang Ren,the chief physician,is the chairman of Shanghai Acupuncture and Moxibustion Association.Having been engaged in medicine for about 40 years,he is experienced in treating various intractable diseases.In his long years of clinical practice,he advocates taking the TCM differentiation as the basis to seek for the acupuncture method for treatment of modern intractable diseases.The author of this essay had the fortune to follow Dr.Zhang in study.The following is a summary of Dr.Zhang's experience in the acupuncture treatment for different intractable diseases with the same therapeutic principle.     

Luo Lingjie''''s Experience in Treating Chronic Nephropathy

In treating chronic nephropathy,Luo Lingjie,a chief physician,pays attention to regulating the balance between yin and yang,treating infection if present,and removing pathogenic factors.He prescribes gentle drugs and uses carefully strongly warming-tonifying ones,emphasizes the importance of persuading the patient to persist in treatment with medication and nurse one's health for recuperation,and is good at combined use of TCM and western medicine therapy and brings the merits of various therapies into full play,with obvious theraoeutic effects.     

Acupuncture Combined with Spinal Tui Na for Treatment of Primary Dysmenorrhea in 30 Cases

Objective: To observe the therapeutic effects in acupunture treatment of primary dysmenorrhea combined with spinal Tui Na, and study its mechanism. Methods: Thirty cases of the treatment group were treated by acupuncture combined with spinal Tui Na, and thirty cases in the control group were treated by routine acupuncture. Results: The total effective rate was 93.3% in the treatment group, and 73.3% in the control group, with a significant difference between the two groups (P<0.05). Conclusions: Acupuncture combined with spinal Tui Na has good prospects for treatment of primary dysmenorrhea.     

猪肺磷脂注射液联合经鼻持续气道正压通气对呼吸衰竭早产儿的临床疗效及肌酸激酶同工酶活性的影响

目的 探讨猪肺磷脂注射液联合经鼻持续气道正压通气(NCPAP)对呼吸衰竭早产儿的临床疗效及肌酸激酶同工酶活性(CK-MB)的影响.方法 选取呼吸衰竭早产儿80例,分为观察组和对照组各40例.对照组采用NCPAP给氧治疗,观察组给予NCPAP给氧联合猪肺磷脂气管内给药.观察两组患儿治疗前及治疗12h、24 h后PaO2、PaCO2、血氧饱和度(SaO2)、pH的变化情况,检测治疗前及治疗5d后血清CK-MB水平;评估两组患儿的临床治疗效果.结果 两组患儿PaO2、PaCO2、SaO2、pH比较,差异均有统计学意义(P＜0.05),其中观察组治疗后的PaO2、SaO2、pH均高于对照组,PaCO2则低于对照组.两组的PaO2、SaO2、pH均随观察时间延长而升高(P＜0.05),PaCO2均随观察时间的延长而降低(P＜0.05).观察组治疗有效率为87.5％,显著高于对照组的70.0％ (P ＜0.05).治疗5d后两组患儿血清CK-MB水平均较前降低(P＜0.05),且观察组明显低于对照组(P＜0.05).结论 猪肺磷脂注射液气管内给药联合NCPAP可以显著降低呼吸衰竭早产儿CK-MB的含量,提高治疗有效率,起到很好的呼吸循环支持作用.     

Acupuncture Treatment of Vomiting

CASE HISTORY A female patient, 46 years old, head of the foreign affairs department of a certain university in Beijing, paid her first visit on October 9, 2006, with the chief complaint of vomiting for one month. She got vomiting after meals in early September. Before that, she had discomfortable sensation in the stomach due to angry with others, but she didn't pay much attention. Later, it developed into vomiting after eating. After the vomiting, the discomfort would be relieved, but with slight hypodynamia. She was once diagnosed as having 'neurogenic vomiting'. Having taken some western and Chinese drugs, the above symptoms were a little bit improved, but she would have nausea upon eating and with regurgitation. Because of the fear for vomiting, she did not dare to have food intake, with body weight reduction of 6 kilos in one month.     

Qiu Baoguo''''s Experience in Treating Consumptive Syndromes after Radio-Chemotherapies

Radiotherapy and chemotherapy are the important modern medical therapies for malignant tumors,yet they can also bring about serious local and systemic toxic side reactions so to decrease the patient;'s life quality,manifested by a series of consumptive symptoms.Having engaged in the combined work of Chinese and western medicine for nearly 50 years,the research fellow Qiu Baoguo in Henan Provincial Academy of TCM has developed his unique views on the TCM study of consumptive syndromes.The author of this essay had once the fortune tO follow Dr.Qiu in clinic,and specially would like to introduce in the following Dr.Qiu's experience in treating consumptive syndromes after radio-chemotherapies for patients with malignant tumor.     

Insomnia Due to Deficiency of Both the Heart and Spleen Treated by Acupuncture-Moxibustion and Chinese Tuina

OBJECTIVE: To observe therapeutic effects of the comprehensive therapy of acupuncture-moxibustion and Chinese Tuina for treatment of insomnia due to deficiency of both the heart and spleen. METHODS: 92 cases were divided randomly into the treatment group (treated by acupuncture-moxibustion and Chinese Tuina) and the control group (treated by acupuncture-moxibustion). RESULTS: The therapeutic effect of the treatment group was obviously superior to that of the control group (the CHI2 test showed P < 0.01). CONCLUSIONS: The comprehensive therapy of acupuncture-moxibustion and Chinese Tuina can give marked therapeutic effects for treatment of insomnia due to deficiency of both the heart and spleen.