Wolff G
Department of Paediatric Nephrology and Metabolic Diseases, Kinderklinik MHH, Hannover, Germany.
Eur J Pediatr. 1992;151 Suppl 1:S76-80. doi: 10.1007/BF02125808.
There is far-reaching consent in the literature that public and consensual agreements on the basics of the different aspects of medical ethics are inalienable before the instigation of any innovative transplant procedure. In the case of a certain method and/or of an individual patient, however, the ultimate ethical evaluation can most likely never be entirely complete before this application. Ethical evaluation depends on the actual criteria used, the present knowledge regarding the risk--benefit--balance as well as on the ethical evaluation of the patient's and his family's own feelings and expectations which are not entirely conscious. In relation to the so-called "fundamental and constant ethical guidelines" and under a psychological perspective potential, ethical conflict constellations are presented which have to be dealt with in the process of ethical and psychological evaluation before living organ transplantation.
文献中存在广泛的共识，即在启动任何创新性移植手术之前，就医学伦理不同方面的基本内容达成公开且双方自愿的协议是不可剥夺的。然而，对于某一特定方法和/或某一特定患者而言，在这种应用之前，最终的伦理评估很可能永远无法完全完成。伦理评估取决于所使用的实际标准、当前关于风险 - 收益平衡的知识，以及对患者及其家属自身并非完全有意识的感受和期望的伦理评估。从心理学角度看，针对所谓的“基本且恒定的伦理准则”，呈现了在活体器官移植前的伦理和心理评估过程中必须应对的潜在伦理冲突格局。
