无效治疗

面对临床无效治疗：思考与抉择

Thinking and Choice of Futile Treatment

关于尿毒症无效治疗的医患关系、资源分配及道德价值的讨论是有积极意义的；

It is significant to discuss the medical relations , the allocation of resources and the moral values in the futile treatment on uremia .

肿瘤无效治疗判断中的利益冲突

Conflicts of Interests in Judging Medical Futility in Departments of Oncology

从经济伦理学的角度对无效治疗中的继续治疗和放弃治疗进行了探讨。

This article carries out the discussion about the continual cure and relinquish cure in course of the ineffective cure from the view of the economic ethics .

NEERAJMISTRY：“完全抗药性结核病的出现是公共卫生干预策略失败的结果。当我们提供无效的治疗方案，当我们没有完全遵守或配合治疗，就会使得个体抗药性的出现成为可能。”

NEERAJ MISTRY : " The emergence of totally-resistant TB is a result of failed public health intervention strategies . When we deliver ineffective treatment regimens and when we don 't have full adherence and compliance to treatment , it enables the emergence of resistance within the individual . "

把无效的治疗误认为有效，不仅在大众中非常普遍，而且很多医生也常如此。

An ineffective drug or treatment to be confused as effective one is very common not only in patients , but also in our medical professionals .

当我们提供无效的治疗方案，当我们没有完全遵守或配合治疗，就会使得个体抗药性的出现成为可能。

When we deliver ineffective treatment regimens and when we don 't have full adherence and compliance to treatment , it enables the emergence of resistance within the individual .

干扰素治疗后患者血清丙二醛水平明显低于治疗前水平（P<0.05），无效组治疗后的丙二醛浓度仍高于健康对照（P<0.05）。

The serum levels of MDA after the treatment with IFN α - 2b were significantly lower than the pretreatment levels ( P < 0.05 ), which even returned to the normal concentration ( P > 0.05 ) in the effective group .

方法：61例61眼外源性细菌性眼内炎患者，35眼TAP治疗；其中12眼无效再VIT治疗；

Methods : 61 eyes of 61 patients were treated , 23 eyes with TAP , 12 eyes with TAP and VIT afterwords , 26 eyes with VIT .

治疗方法首选非手术疗法，无效时行手术治疗。

Conservative therapy is preferred , surgical treatment is the last choice .

内科保守治疗无效转行手术治疗26例，术后全部好转出院。

26 cases operated because of the ineffectiveness for conservative medical treatment were cured and discharged from hospital .

一种当带有少量毒性的抗癫痫药物无效时用来治疗癫痫症的毒性药物（商标是美山妥因）。

A toxic anticonvulsant drug ( trade name Mesantoin ) used in the treatment of epilepsy when less toxic anticonvulsants have been ineffective .

无效：（治疗后-治疗前）/治疗前×100<0%。②骨质疏松症中医证候标准：临床痊愈：主要症状消失，症状积分值下降95%（含95%）以上；

Ineffective : ( after treatment-before treatment ) / before treatment × 100 < 0 . ( 2 ) Criteria of syndrome in Chinese medicine : Clinical recovery : the main symptoms disappeared , and the integral values decreased 95 % ( including 95 % ) or above ;

[结果]1.两组的主要中医证候综合疗效比较：取患者出现的症状按显效、有效、无效考察，结果治疗组显效率、总有效率均非常显著高于对照组（P0.01）。

Two main effects TCM Comprehensive comparison : according to the symptoms in patients taking markedly , effective and ineffective inspection , the results of the treatment group were effective , with a total effective rate were very significantly higher ( P0.01 ) . 2 .

方法按Nissen-li对Colles骨折的分型标准，对17例Colles骨折所致急性腕管综合症的患者，Ⅰ、Ⅳ型采取非手术疗法，Ⅱ、Ⅲ型及非手术疗法无效者采取手术治疗。

Methods According to the standard typing of carpal canal syndrome proposed by Nissen-li , 17 patients who suffered from acute carpal canal syndrome caused by Colles fracture , style ⅰ and ⅳ took non-operation treatment , style ⅱ ⅲ and ineffective patients of non-operation group took an operation .

如果无效，进行二线治疗。

If it is not effective , a second-line treatment is given .

结论以结节表现为主的颅内脑膜结核，临床症状较重，药物治疗无效者需手术治疗。

Conclusion Nodular intracranial meningeal tuberculosis usually is more serious in clinical manifestations . Operation is needed when conservative therapy is ineffective .

血液透析组出现低血压、高血压、心绞痛等不良反应，有22例次低血压患者经对症治疗无效，需终止治疗。

As for those with hemodialysis , such adverse reactions as hypertension , hypotension , angina pectoris occurred.22 cases of hypotension quitted from treatment due to ineffective treatment .

结果治愈率为96.7%，2例经治疗无效行外科手术治疗，随访1～2年痊愈出院者未出现反复上消化道出血。

Results The cure rate was96.7 % , 2 cases of void due to drug treatment to surgical treatment , 1 to2 years follow-up of all patients did not appear repeatedly gastrointestinal bleeding .

再出血6例，再次内镜下止血4例成功，2例治疗无效转外科手术治疗，总有效率为97.3%（74/76）。

Patients bleeded again within 48 hours , 2 patients were given surgical intervention after failure in the second treatment . The total rate of hemostasis was 97.3 % ( 74 / 76 ) .

实验组痊愈8例，显效8例，有效8例，无效11例，治疗总有效率为68.6%，痊愈率为22.9%；

In the experiment group , 8 cases recovered , 8 cases had notable effect , 8 cases were effective , and 11 cases were ineffective . The total effective rate was 68.6 % , and the curative rate was 22.9 % .

sIL-2R血清水平在IFN-α有效应答组治疗前明显高于无效应答组和正常组（P<0.01），但治疗后则明显下降，虽然无效应答组治疗后略有上升，但治疗前后无显著性差异。

The serum IL 2 level in patients with response after IFN α treatment was significantly lower than before therapy ( P < 0 01 ) .