Vincent J L
Department of Intensive Care, Erasmus University, Free University of Brussels, Belgium.
Eur J Anaesthesiol. 1991 Jul;8(4):297-300.
The attitude of a Jehovah's Witness patient refusing a blood transfusion during an exsanguinating episode can raise important ethical problems. Various ethical principles, including the patient's autonomy, the sanctity of life and the dignity of the medical profession can be confronted. A total of 242 doctors, members of the European Society of Intensive Care Medicine, answered a questionnaire indicating that 63% would transfuse in those circumstances. However, 26% would never inform the patient about this. Only 45% considered the blood transfusion as appropriate, of whom 25% were unable to define the best option. Doctors from France and Italy more commonly transfuse while those from The Netherlands, the United Kingdom and Scandinavia more commonly withhold transfusion. These data stress the need for a definition of the appropriate medical attitudes towards the patient refusing blood transfusion.
耶和华见证会的患者在大出血期间拒绝输血的态度可能引发重要的伦理问题。这可能会涉及到各种伦理原则，包括患者的自主权、生命的神圣性以及医学职业的尊严。共有242名欧洲重症监护医学学会的医生回答了一份调查问卷，结果显示63%的医生会在这种情况下进行输血。然而，26%的医生永远不会将此事告知患者。只有45%的医生认为输血是合适的，其中25%的医生无法确定最佳选择。法国和意大利的医生更倾向于进行输血，而荷兰、英国和斯堪的纳维亚的医生则更倾向于不进行输血。这些数据强调了需要明确针对拒绝输血患者的适当医疗态度。
