還有心跳怎會死？：重症醫師揭開死前N種徵兆

還有心跳怎會死？：重症醫師揭開死前N種徵兆
ISBN-10
9869757421
ISBN-13
9789869757423
Category
Health & Fitness
Pages
216
Language
Chinese
Published
2019-05-29
Publisher
Common Wealth Magazine Ltd
Author
黃軒

Description

我習以為常看著死亡在眼前跳舞， 它有時快有時慢，有時奸詐，有時甚至使我灑汗流淚。 人們生到世間是偶然，死是必然 死亡並非心跳停止那一刻才開始── 它是一個過程，且大多沒有絕對時刻 「醫生，請你救救他！」這是從事急重症醫學工作20年的黃軒醫師最常聽到的話。 不斷和死神拔河的他，看過太多家屬情感上無法接受親人死去，煎熬地懇求急救，病人的肉體在臨終前受到極大折磨、痛苦死去。醫師盡全力最後仍要順天命，黃軒有感而發：「若是多幾分對『生理死』的理解，或許就不會造成生死兩煎熬的遺憾！」 ✢ ✢ ✢ ✢ ✢ ✢ 黃軒用生動筆法帶讀者重返醫療現場，以醫學解釋臨終前、死亡中的生理變化，試圖打破家屬「前一秒沒事，怎麼下一秒病危？」的迷思。「好死」是人人渴望的最後歸宿，但有時要理解「生理的死亡」，比救治病人還困難，本書無意對死亡做出雄辯，卻希望藉此提供另一種角度坦然接受生命的消逝。黃軒認為「死，不是人生的終結，而是生涯的完成，因為了解真相，才會有正確的選擇。」 ✢ ✢ ✢ ✢ ✢ ✢ 黃軒同時也以敏銳的醫療判斷，將人性疑雲抽絲剝繭── ◆腦中風合併吸入性肺炎、重度失智的老伯伯，忽然清醒認得家人，家屬以為父親「吉人天相」，把不久簽署的DNR拋諸腦後，未料用急救「再給父親一次機會」的結果是？ ◆身強力壯的男大生，因情緒衝動，喝下不到一瓶蓋的巴拉刈，全身中毒、消化道嚴重灼傷；父母堅持救到底，醫師卻說活下來只有兩種可能…… ◆媽媽帶著流鼻血的三歲男童到急診室，潰爛的眼角膜、不自然的水泡，卻洩漏這位媽媽沒有說的祕密…… ◆癌末老婦人因跌倒腦部受傷送醫，急診啟動常規醫療，處理脫水和電解質不平衡的問題；是什麼原因讓「維生」治療反過來「危生」？ ❖ 國內第一本由權威急重症醫師撰寫的死生實錄 ❖ 藉由黃軒的筆，帶你迅速進入分秒必爭的臨床現場，穿越對死亡的層層誤解、恐懼的迷障；有別於一般生死醫療議題的感性敘事，作者著力鋪陳醫療現場的實況，不但擁有令人屏息的即視感，還能透過醫者的雙眼，解開坊間對死亡似是而非的說法。 ❖ 學校沒教、大人不談的瀕死徵兆 ❖ 醫生是現今最靠近死亡前、中、後期的專業生命處理者，卻很少談死、談生命消逝前的徵兆，黃軒因此才動筆留下臨床見聞：醫療專業上判定的死亡，以及病人和家屬面對死亡的心情起伏。然而在醫療決策的過程裡，還會有諸多民間傳說干擾正規醫療，例如神明附身、印堂發黑、迴光返照、人生跑馬燈、靈魂出竅等，他用醫學專業剖析，讓你近距離觀察且正確理解上述生理徵象向死的過程。 ❖ 善終，才是對抗死亡的最大勝利 ❖ 人人終將免不了一死，這是一出生就知道的事，當代的科技、知識可說遠遠超過前代，若能看懂更多醫療常識，提早認識、了解、接受、面對死亡，或許可以稀釋死亡所帶來的憂愁、懼怖，進而促成更多「好死」的抉擇。 心跳推薦 臺中榮總老年醫學、安寧緩和專科醫師／TEDxTaipei講者 朱為民 網路知名圖文作家 急診女醫師其實 台灣安寧照顧基金會董事長暨馬偕紀念醫院醫師 楊育正 台灣正念學學會正念療育培訓師 羅耀明 ✙ ✙ ✙ ✙ ✙ ✙ 死亡，好像是不能說的「佛地魔」，但黃軒以豐富的臨床經驗，透過生動的故事和精確的醫療判斷，帶讀者從不同角度理解死亡。除了生理面向，就連死亡時的心理狀態、家人面對死亡的焦慮，甚至如何在死亡中追求人生更高的意義，都是書中不可不讀的部分。──臺中榮總老年醫學、安寧緩和專科醫師 朱為民 身為急診醫師，我們盡力抓住千萬分之一的可能，同時又不能抱持虛幻的期待；黃軒帶大家進入現場，寫出了醫師腦海中各種意欲作為、又小心翼翼的萬種考量，我們也跟他一樣，是醫療現場正面迎擊難題的福爾摩斯。──網路知名圖文作家 急診女醫師其實 面對病人的最後時刻，我們要如何適當的作為或不作為，讓逝者安詳、生者無憾？ 黃軒以專業和熱情，分享他多年行醫路上學習的生命故事和體驗，讓面對死亡的態度和作為能恰得其分。──台灣安寧照顧基金會董事長暨馬偕紀念醫院醫師 楊育正 黃軒揭露重症醫療現場實相，有助民眾排除善終障礙，不因醫療而痛苦活著或死去，是送給自己與家人的禮物！──台灣正念學學會正念療育培訓師 羅耀明 （以上依姓名筆劃排序）

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