Page 9 - 104-105山醫學倫理暨人文醫學圖書心得精選集

【英文心得】得獎作品

第一名 The Lazarus Case: Life-and-Death
Issues in Neonatal Intensive Care

John D. Lantos/ Johns Hopkins University Press/2001

報告人〆兒童內科部 郭明慧主治醫師

本書重點敘述〆

In this book, the author John D. Lantos, who is a
pediatrician and medical ethicist, describes a fictional
malpractice case which is similar to several actual malpractice
cases in which he has testified as an expert witness in court.

In Lantos's model case, a pregnant woman goes into

premature labor at 24 weeks of gestation. The baby is delivered

emergently via NSD (vaginal delivery) and weighs only 600

grams at birth. After birth, the baby is found to be pulseless

with no spontaneous breathing. According to routine, the baby

is first intubated, and resuscitative efforts are initiated.

However, after 10 minutes of resuscitation, the baby is

unresponsive to medical efforts. Believing that further

intervention would be futile, the doctor then decides to stop

resuscitation of the tiny premature infant who seems to be past
reasonable care. The baby is put into the mother’s arms,

allowing her to hold the child for a few last moments before the

104-105 年度〃醫學倫理〃人文醫學〃心得 1