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移植身体:初步伦理考量

Transplanting the Body: Preliminary Ethical Considerations.

作者信息

Miller Lantz Fleming

机构信息

a University of Twente , Enschede , The Netherlands.

出版信息

New Bioeth. 2017 Nov;23(3):219-235. doi: 10.1080/20502877.2017.1385919. Epub 2017 Oct 23.

Abstract

A dissociated area of medical research warrants bioethical consideration: a proposed transplantation of a donor's entire body, except head, to a patient with a fatal degenerative disease. The seeming improbability of such an operation can only underscore the need for thorough bioethical assessment: Not assessing a case of such potential ethical import, by showing neglect instead of facing the issue, can only compound the ethical predicament, perhaps eroding public trust in ethical medicine. This article discusses the historical background of full-body transplantation, documents the seriousness of its current pursuit, and builds an argument for why prima facie this type of transplant is bioethically distinct. Certainly, this examination can only be preliminary, indicating what should be a wide and vigorous discussion among practitioners and ethicists. It concludes with practical suggestions for how the medical and bioethics community may proceed with ethical assessment.

摘要

医学研究中一个游离的领域值得进行生物伦理考量

提议将捐赠者除头部以外的整个身体移植给一名患有致命退行性疾病的患者。这种手术看似不太可能实现,这只会凸显进行全面生物伦理评估的必要性:不评估这样一个具有潜在伦理意义的案例,表现出忽视而非直面问题,只会使伦理困境更加复杂,或许还会侵蚀公众对伦理医学的信任。本文讨论了全身体移植的历史背景,记录了当前对其进行探索的严肃性,并论证了为何乍一看这种类型的移植在生物伦理方面具有独特性。当然,这种审视只能是初步的,旨在引发从业者和伦理学家之间广泛而热烈的讨论。文章最后针对医学和生物伦理学界如何进行伦理评估提出了切实可行的建议。

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