Botkin J R
Johns Hopkins School of Hygiene and Public Health, Baltimore, MD 21205.
Pediatrics. 1988 Aug;82(2):250-6.
Transplantation technology has been refined in recent years and now offers hope to pediatric patients with a variety of end stage disease processes. The lack of available donors for the smallest potential organ recipients has led to the suggestion that anencephalic infants be used as organ donors. This suggested policy is contrary to current law and raises fundamental ethical issues relating to the definition of death and the treatment of the dying. The technical issues in the potential organ supply from this source are described and the opposing ethical positions developing in this debate are discussed.
近年来,移植技术已得到完善,现在为患有各种终末期疾病的儿科患者带来了希望。对于最小的潜在器官接受者而言,可用捐赠者的短缺导致了一种建议,即无脑儿应被用作器官捐赠者。这一建议的政策与现行法律相悖,并引发了与死亡定义和临终治疗相关的基本伦理问题。本文描述了从这一来源获取潜在器官供应的技术问题,并讨论了这场辩论中出现的对立伦理立场。