Petrini Carlo
Unità di Bioetica, Presidenza, Istituto Superiore di Sanità, Rome, Italy. E-mail:
Ann Ist Super Sanita. 2013;49(4):412-6. doi: 10.4415/ANN_13_04_16.
Numerous documents (declarations, codes, recommendations, guidelines) issued by eminent institutions recommend that the donation of blood should be voluntary and unremunerated. This does not preclude the possibility: 1) that donors receive some form of reimbursement; 2) that subsequent procedures, which inevitably incur costs, may involve considerable financial activity; 3) that legislation in some nations may allow trade in certain types of human biological material; 4) that voluntarily donated human blood be used to derive products that are subsequently marketed. The present article highlights some of the contradictions generated by these considerations and affirms that they do not undermine the primary duty to uphold the voluntary nature of donation.
著名机构发布的众多文件（宣言、准则、建议、指南）都建议献血应是自愿且无报酬的。但这并不排除以下可能性：1）献血者获得某种形式的补偿；2）后续程序不可避免地会产生费用，可能涉及大量资金活动；3）一些国家的法律可能允许某些类型人体生物材料的交易；4）自愿捐献的人血被用于生产随后进入市场的产品。本文着重介绍了这些考虑因素所产生的一些矛盾，并申明它们不会削弱维护献血自愿性质的首要责任。
