1 Pediatric Intensive Care, MGH Pediatrics Ethics Committee, Department of Pediatrics, Massachusetts General Hospital, Boston, MA, USA.
2 Department of Theology, Boston College, Chestnut Hill, MA, USA.
J Intensive Care Med. 2019 Jan;34(1):81-84. doi: 10.1177/0885066618791953. Epub 2018 Aug 21.
A recent case of conjoined twins required multiple hospitalizations in the pediatric intensive care unit and led to a difficult situation confronting staff regarding the potential separation where surgery would result in the death of one twin. The hospital ethics committee was consulted. A systematic approach was utilized to examine medical standards, historical precedents, and various ethical and legal frameworks. The ethics committee believed that either proceeding with or forgoing attempted separation surgery would be ethically acceptable. We share our reasoning and lessons learned for others facing this situation in the future.
最近有一例联体双胞胎病例，需要多次住院于儿科重症监护病房，这导致了一个棘手的情况，让医护人员面临着潜在的分离手术，因为手术将会导致其中一个双胞胎死亡。医院伦理委员会被咨询了。我们采用了一种系统的方法来检查医学标准、历史先例以及各种伦理和法律框架。伦理委员会认为，继续进行或放弃尝试分离手术在伦理上都是可以接受的。我们分享我们的推理和经验教训，以供未来面临这种情况的人参考。
