【醫療民事法】未告知積極治療方法案：自主決定權的界限【學習式判解評析】 試閱
Case Failing to Disclose the Aggressive Treatment: The Limit of Autonomy
本件病人罹患心肌梗塞與幾近休克之上消化道出血，醫師認為斯時適當之治療應採凝血處置，雖介入式心導管置放支架為積極治療心肌梗塞方式之一，惟必須使用抗凝血劑，將與上消化道出血之治療方針相衝突。病家主張醫師未告知心肌梗塞之積極治療方式致病人因反覆性心室顫動而死亡，經法院判決駁回病家之請求。本文擇舉證責任與病人自主決定權兩議題進行評析。
The impending shock patient was a victim of severe upper GI bleeding, and also suffered from myocardial infarction. The treating priority was decided to stop upper GI bleeding, and the cardiac catheter stenting was contraindicated then because the use of anticoagulants will deteriorate the condition of upper GI bleeding. The plaintiff claimed for damages that the physicians breached the duty of informing the patient about the aggressive treatment option of cardiac catheter stenting. The courts found for the defendant, and their opinions regarding the burden of proof and the limit of patient autonomy were discussed in details in this article.
071-093
