New York Methodist Hospital, Brooklyn, NY, USA.
Pediatrics. 2013 Sep;132(3):547-51. doi: 10.1542/peds.2013-0503. Epub 2013 Aug 19.
Two of the most ethically complex situations in pediatrics are those involving families whose religious beliefs preclude the provision of life-sustaining treatment and those involving young adults who have reached the age of legal majority and who face decisions about life-sustaining treatment. This month's "Ethics Rounds" presents a case in which these 2 complexities overlapped. An 18-year-old Jehovah's Witness with sickle cell disease has life-threatening anemia. She is going into heart failure. Her doctors urgently recommend blood transfusions. The young woman and her family adamantly refuse. Should the doctors let her die? Is there any alternative?
在儿科领域，最具伦理复杂性的两种情况是：一种涉及到那些宗教信仰禁止提供维持生命治疗的家庭；另一种涉及到已经达到法定成年年龄的年轻人，他们面临着维持生命治疗的决策。本月的“伦理轮次”呈现了一个这两种复杂性重叠的案例。一名患有镰状细胞病的 18 岁耶和华见证会信徒患有危及生命的贫血症。她即将发生心力衰竭。她的医生紧急建议输血。这位年轻女子和她的家人坚决拒绝。医生是否应该让她死去？是否有其他选择？
