Bollen Jan, Ten Hoopen Rankie, Ysebaert Dirk, van Mook Walther, van Heurn Ernst
Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands Department of Intensive Care, Maastricht University Medical Center, Maastricht, The Netherlands.
Department of Law, Maastricht University, Maastricht, The Netherlands.
J Med Ethics. 2016 Aug;42(8):486-9. doi: 10.1136/medethics-2015-102898. Epub 2016 Mar 24.
Organ donation after euthanasia has been performed more than 40 times in Belgium and the Netherlands together. Preliminary results of procedures that have been performed until now demonstrate that this leads to good medical results in the recipient of the organs. Several legal aspects could be changed to further facilitate the combination of organ donation and euthanasia. On the ethical side, several controversies remain, giving rise to an ongoing, but necessary and useful debate. Further experiences will clarify whether both procedures should be strictly separated and whether the dead donor rule should be strictly applied. Opinions still differ on whether the patient's physician should address the possibility of organ donation after euthanasia, which laws should be adapted and which preparatory acts should be performed. These and other procedural issues potentially conflict with the patient's request for organ donation or the circumstances in which euthanasia (without subsequent organ donation) traditionally occurs.
在比利时和荷兰，安乐死后进行器官捐赠的情况已出现40多次。到目前为止所实施程序的初步结果表明，这能为器官接受者带来良好的医疗效果。可以改变一些法律方面的规定，以进一步促进器官捐赠与安乐死的结合。在伦理方面，仍存在一些争议，引发了一场持续但必要且有益的辩论。更多的经验将阐明这两种程序是否应严格分开，以及死亡器官捐献规则是否应严格执行。对于患者的医生是否应提及安乐死后器官捐赠的可能性、应修改哪些法律以及应采取哪些准备行为，各方意见仍存在分歧。这些以及其他程序问题可能与患者的器官捐赠请求或传统上实施安乐死（不进行后续器官捐赠）的情况相冲突。
