Eigler F W
Abteilung für Allgemeine Chirurgie, Universitätsklinikums-GHS-Essen, BRD.
Diskussionsforum Med Ethik. 1990 Oct(4):2 p. following 502.
If in the case of brain death breathing and circulation are continued artificially we deceive ourselves emotionally not to except death of the so treated organism. But on scientific medical grounds brain death defines the end of the organism as a whole beyond doubt. No rational reasons can be seen, why organs should not be taken from the brain dead provided that diagnosis of brain death and the organ retrieval are done by independent teams of doctors and an opposing will of the dead person is not known. Honour should be payed to the remains of the dead organ donor. Donation of living donors should be seen more critically because of the ethical problems involved for the managing doctors.
如果在脑死亡的情况下通过人工手段维持呼吸和循环,我们在情感上是自欺欺人,不能指望这样治疗的机体不会死亡。但从科学医学的角度来看,脑死亡无疑界定了整个机体的终结。只要脑死亡的诊断和器官摘取由独立的医生团队进行,且不知道死者有反对意愿,就没有合理的理由认为不应该从脑死亡者身上摘取器官。应该尊重器官捐献死者的遗体。由于涉及管理医生的伦理问题,对活体捐献者的捐献应该更审慎看待。