Bearl David W
Thomas P. Graham Jr. Division of Pediatric Cardiology, Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, TN, USA.
Transl Pediatr. 2019 Oct;8(4):278-283. doi: 10.21037/tp.2019.08.01.
Organ scarcity often drives ethical discussion in pediatric heart transplantation. There are questions about autonomy and equity in the referral patterns. There are questions about beneficence in how referral centers are established and operate. There are questions about fairness in how patients are listed and evaluated for listing exceptions. Finally, there are questions about beneficence, maleficence, and justice when it comes to the regulatory oversight of transplantation. This review will serve as a brief review of some of the more pressing ethical matters in pediatric heart transplantation and, where possible, offer potential solutions.
器官稀缺常常引发小儿心脏移植领域的伦理讨论。在转诊模式方面存在关于自主权和平等性的问题。在转诊中心的设立和运营方式上存在关于行善原则的问题。在患者列入名单以及评估名单例外情况时存在关于公平性的问题。最后，在移植的监管方面存在关于行善、作恶和公正的问题。本综述将简要回顾小儿心脏移植中一些较为紧迫的伦理问题，并在可能的情况下提供潜在解决方案。
