{"id":4411,"date":"2017-06-12T00:00:00","date_gmt":"2017-06-11T16:00:00","guid":{"rendered":"\/\/www.afterroberto.com\/?guid=2e92704087e24572ba55bafc6d525ba6"},"modified":"2019-05-15T12:07:11","modified_gmt":"2019-05-15T04:07:11","slug":"%e5%90%be%e7%94%9f%e6%9c%89%e6%9d%8f%ef%bc%9a%e9%99%a2%e9%95%b7%e9%86%ab%e7%94%9f%e5%91%a8%e8%a8%98%ef%bc%8867%ef%bc%89-%e5%a3%bd%e6%af%94%e5%8d%97%e5%b1%b1%ef%bc%9f","status":"publish","type":"post","link":"\/\/www.afterroberto.com\/%e5%90%be%e7%94%9f%e6%9c%89%e6%9d%8f%ef%bc%9a%e9%99%a2%e9%95%b7%e9%86%ab%e7%94%9f%e5%91%a8%e8%a8%98%ef%bc%8867%ef%bc%89-%e5%a3%bd%e6%af%94%e5%8d%97%e5%b1%b1%ef%bc%9f\/","title":{"rendered":"\u543e\u751f\u6709\u674f\uff1a\u9662\u9577\u91ab\u751f\u5468\u8a18\uff1a \u58fd\u6bd4\u5357\u5c71\uff1f"},"content":{"rendered":"

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\/\/www.afterroberto.com\/wp-content\/uploads\/2017\/07\/01-9.jpg;<\/inline><\/p>\n","protected":false},"excerpt":{"rendered":"

【明報專訊】上星期看了一篇令人心酸的倫常慘案，一名八旬老翁把妻子親手勒死。據報道，他的妻子飽受中風多年的折磨，他們的兒子又不幸早逝，一個老人家長年累月地全天候照顧另一個老人家。在孤苦無依、累極絕望之際，這個老伯作出了可悲的抉擇。<\/p>\n

港人長壽非因生活環境優越<\/p>\n

我們經常自誇香港的人均壽命位列世界之冠，但有否想過這表面上的驕人數字是什麼原因？我個人覺得，香港人長壽並不完全因為是社會生活環境優越，促使這城的人長命百歲。相反，我們生處彈丸之地，很短時間便能到達醫院，而高效率的醫療系統又能「及時救活」很多百病纏身的嚴重病患者。先進的醫學不斷地挑戰人類壽命的極限，但同時也為人類帶來前所未有的問題和危機。<\/p>\n

我每天經過病房，都見到不少年紀老邁、關節僵硬兼缺乏知覺的病人卧在牀上。他們天天靠着胃管灌輸營養，依賴人工呼吸機存活。由於長期卧牀，加上失禁，下身及背部的皮膚經常潰爛。有些病患者更是風燭殘年，身體狀况極度虛弱。可是當面對生命臨近終結，很多醫生及家人卻不懂得如何面對。<\/p>\n

曾經有一個像上述情况的病人患上肺炎入院。當值的一名年青醫生依照醫治嚴重肺炎的指引，為病人注射特效抗生素及戴上呼吸輔助機器。我當時問那個年青醫生：「你覺得這些治療真的在幫助這位婆婆吧？」他一臉迷惘、不知如何是好。<\/p>\n

拯救生命=延續痛苦？<\/p>\n

其實我明白他所面對的兩難，到底應該是拯救生命？還是延續痛苦？我們行醫者要堅持到哪一刻才對？究竟什麼時候應該終止治療？誰人有權為別人的生命當上判官？<\/p>\n

我不是主張安樂死，但每當行醫者盡力搶救生命時，我們也應同時反思，這一切的治療究竟是在幫助病者和家屬，還是只在延續他們痛苦的日子？<\/p>\n

「壽比南山」，一直是傳統中國人的祝福語。但長壽要面對的，不止是自理和被照顧、或需要社會醫療福利這麼簡單；長者還有許多心理和情緒的問題要處理，例如如何處理伴侶和朋友離世後的孤獨感。我也見過一些長者到了某個年月後開始對人生感到枯燥、乏味和厭倦。此外，他們的心態也有可能隨體力和記憶力下降而產生改變，從而影響了和家人朋友的相處。<\/p>\n

「長壽」其實是一個很複雜的課題。假如有一天，我們很容易便可以活到一百二十歲的話，我們又希望如何度過最後的幾十年？<\/p>\n

文：陳家亮<\/p>\n

作者簡介：教學生、醫病人、做研究，中文大學醫學院院長陳家亮親筆分享杏林大小事<\/p>\n

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