肾脏病学中暂停或撤消生命支持:法语背景下的视角

L Frimat
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引用次数: 0

摘要

慢性肾脏病(CKD)的特点是病程长、初期简单而晚期复杂。血液透析和腹膜透析是肾脏替代疗法,可以延长患者的生命,但随着时间的推移,合并症和体弱会给患者带来沉重的负担。法语国家肾脏病、透析和移植学会(SFNDT)发布了临床实践指南,以优化在这种情况下的 CKD 治疗,支持在适当开始和退出透析时共同决策,并监督法语国家的临终关怀。
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Withholding or withdrawing life support in nephrology: a perspective in the French-speaking background

Chronic kidney disease (CKD) characterized by long duration, simplicity at beginning versus complexity at advanced stages. Hemodialysis and peritoneal dialysis are renal replacement therapy allowing life extension, but comorbidities and frailty could be burdensome over time. The academic society, Société Francophone de Néphrologie, Dialyse, Transplantation (SFNDT), publishes clinical practice guidelines to optimize CKD treatment in this context, to support shared decision-making in the appropriate initiation of and withdrawal from dialysis, and to supervise end-of-life cares in the French-speaking countries.

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