Chantler C
United Medical School, Guy's Hospital, London, United Kingdom.
Eur J Pediatr. 1992;151 Suppl 1:S81-4. doi: 10.1007/BF02125809.
Amazing advances have been achieved over the last 20 years in transplantation. As well as the problems of rejection and its control there are other difficulties which have to be confronted. There are shortages of donors, problems of selection for treatment and the problems of funding this expensive form of therapy. The need to make choices has to be considered and the criteria in determining choice have to be determined. Of particular concern in paediatrics are the problems that arise in relation to rehabilitation and the need to provide a multi-disciplinary approach to care. Finally, we have to remember that our enthusiasm for the possibilities of saving life and new treatments must not interfere with the basic responsibility to prevent suffering; at times the preservation of life at all costs is not justified, but in such circumstances doctors and other health care professionals have a responsibility for providing support both to the patient and to the family.
在过去20年里，移植领域取得了惊人的进展。除了排斥反应及其控制问题外，还有其他一些困难需要面对。供体短缺、治疗选择问题以及为这种昂贵的治疗方式提供资金的问题。必须考虑做出选择的必要性，并且必须确定决定选择的标准。在儿科特别令人关注的是与康复相关的问题以及提供多学科护理方法的必要性。最后，我们必须记住，我们对拯救生命和新治疗方法可能性的热情绝不能干扰预防痛苦的基本责任；有时不惜一切代价维持生命是不合理的，但在这种情况下，医生和其他医疗保健专业人员有责任为患者及其家人提供支持。
