West R
St George's Hospital Medical School, London.
J Med Ethics. 1988 Dec;14(4):194-7. doi: 10.1136/jme.14.4.194.
With the reduction in diseases due to nutritional deficiencies and infection, disorders which are wholly or partly genetic are becoming relatively more important in all branches of modern medicine. Genetic counselling has developed in recent years from just explaining to an individual or a couple the risk of them producing a handicapped child, to the possibility in many cases of better diagnosis and active intervention to reduce the risks. At the same time antenatal screening programmes have been introduced to detect women who may be carrying a fetus with a severe handicapping anomaly. The ethical aspects of these advances are considered in this article. A practical approach to the resolution of any dilemmas is proposed which concentrates on the duties incumbent on doctors and other health care workers involved with patients who have or may carry genetic disorders.
随着营养缺乏和感染导致的疾病减少，在现代医学的各个分支中，完全或部分由遗传引起的疾病正变得相对更加重要。近年来，遗传咨询已从仅仅向个人或夫妇解释他们生育残疾儿童的风险，发展到在许多情况下有可能进行更好的诊断和积极干预以降低风险。与此同时，已经引入了产前筛查计划，以检测可能怀有患有严重致残异常胎儿的妇女。本文将探讨这些进展的伦理方面。提出了一种解决任何困境的实用方法，该方法侧重于医生和其他参与患有或可能携带遗传疾病患者治疗的医护人员所应承担的责任。
