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| 小儿两性畸形外科治疗中的伦理学探讨 | |
| 引用本文： | 吕逸清,奚益群,谢华,李嫔,余玲,孙莉,李晓溪,徐展远,陈方. 小儿两性畸形外科治疗中的伦理学探讨[J]. 中国医学伦理学, 2012, 25(4): 495-497 |
| 作者姓名： | 吕逸清 奚益群 谢华 李嫔 余玲 孙莉 李晓溪 徐展远 陈方 |
| 作者单位： | 1. 上海市儿童医院/上海交通大学附属儿童医院泌尿外科,上海,200042 2. 上海市儿童医院/上海交通大学附属儿童医院伦理委员会,上海,200042 3. 上海市儿童医院/上海交通大学附属儿童医院内分泌科,上海,200042 |
| 基金项目： | 上海市医学伦理学会“两性畸形患儿及家庭心理评估的量化研究及诊疗规范的伦理学评价研究”立项项目 |
| 摘 要： | 目的探讨两性畸形患儿外科治疗中的相关伦理问题。方法选取两性畸形患儿21例,经过全面的术前准备及符合伦理的临床抉择后,根据个体需求及条件分别行手术及相关治疗。结果所有患儿无明显近期术后并发症,术后恢复良好,随访期间无明显心理波动现象。结论两性畸形的治疗是综合性治疗,医生在事先应充分告知患儿父母疾病情况,治疗手段及预后情况,严格执行知情同意,同时积极发挥伦理委员会的作用。 |
| 关 键 词： | 两性畸形 外科治疗 医学伦理学 知情同意 伦理委员会 |
Ethical Discussion on Surgical Treatment of Pediatric Hermaphroditism |
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| LV Yi-qing , XI Yi-qun , XIE Hua , LI Pin , YU Ling , SUN Li , LI Xiao-xi , XU Zhan-yuan , CHEN Fang. Ethical Discussion on Surgical Treatment of Pediatric Hermaphroditism[J]. Chinese Medical Ethics, 2012, 25(4): 495-497 | |
| Authors: | LV Yi-qing XI Yi-qun XIE Hua LI Pin YU Ling SUN Li LI Xiao-xi XU Zhan-yuan CHEN Fang |
| Affiliation: | 1 (1 Department of Urology,Children’s Hospital of Shanghai/Children’s Hospital Affiliated to Shanghai Jiaotong University,Shanghai 200042,China;2 Ethics Committee of Children’s Hospital of Shanghai/Children’s Hospital Affiliated to Shanghai Jiaotong University,Shanghai 200042,China;3 Department of Endocrinology,Children’s Hospital of Shanghai/Children’s Hospital Affiliated to Shanghai Jiaotong University,Shanghai 200042,China) |
| Abstract: | Objective:To discuss the ethical issues in surgical treatment of pediatric hermaphroditism.Methods:After a thorough preoperative preparation and ethical clinical decision,21 children with hermaphroditism underwent surgical and related treatment according to individual needs and conditions.Results:All patient children have no obvious postoperative complications and psychological fluctuation during the follow-up period.Conclusion:The surgical treatment of pediatric hermaphroditism is a comprehensive treatment,thus it needs to fully inform children’s parents of the illness,treatment and prognosis,strictly implement the informed consent,and play an active role of ethics committee. |
| Keywords: | Hermaphroditism Surgical Treatment Medical Ethics Informed Consent Ethics Committee |
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