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本文引用的文献

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Truly Reconciling the Case of Jahi McMath.真正调和贾希·麦克马思案。
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2
Brain death and true patient care.脑死亡与真正的患者护理。
Linacre Q. 2016 Aug;83(3):258-282. doi: 10.1080/00243639.2016.1188472.
3
A philosophical assessment of TK's autopsy report: Implications for the debate over the brain death criteria.对TK尸检报告的哲学评估:对脑死亡标准辩论的启示
Linacre Q. 2016 May;83(2):192-202. doi: 10.1080/00243639.2016.1164936.
4
Brain Death and Human Organismal Integration: A Symposium on the Definition of Death.脑死亡与人体整合:死亡定义研讨会
J Med Philos. 2016 Jun;41(3):229-36. doi: 10.1093/jmp/jhw007. Epub 2016 Apr 23.
5
Total Brain Death and the Integration of the Body Required of a Human Being.全脑死亡与人类所需身体的整合
J Med Philos. 2016 Jun;41(3):300-14. doi: 10.1093/jmp/jhw005. Epub 2016 Apr 20.
6
Deconstructing the Brain Disconnection-Brain Death Analogy and Clarifying the Rationale for the Neurological Criterion of Death.解构脑分离与脑死亡的类比并阐明死亡神经学标准的基本原理。
J Med Philos. 2016 Jun;41(3):279-99. doi: 10.1093/jmp/jhw006. Epub 2016 Apr 18.
7
The Brain Dead Patient Is Still Sentient: A Further Reply to Patrick Lee and Germain Grisez.脑死亡患者仍有感知:对帕特里克·李和热尔曼·格里斯的进一步回应
J Med Philos. 2016 Jun;41(3):315-28. doi: 10.1093/jmp/jhw008. Epub 2016 Apr 17.
8
Determination of Death: A Scientific Perspective on Biological Integration.死亡的判定:生物整合的科学视角
J Med Philos. 2016 Jun;41(3):257-78. doi: 10.1093/jmp/jhw004. Epub 2016 Apr 13.
9
Are Brain Dead Individuals Dead? Grounds for Reasonable Doubt.脑死亡个体算是死亡吗?存在合理怀疑的理由。
J Med Philos. 2016 Jun;41(3):329-50. doi: 10.1093/jmp/jhw003. Epub 2016 Apr 13.
10
The dead donor rule and organ transplantation.死亡器官捐献规则与器官移植
N Engl J Med. 2008 Aug 14;359(7):674-5. doi: 10.1056/NEJMp0804474.

面对新的科学证据保持谦逊:我们不再有道德上的确信认为“脑死亡”就是真正的死亡。

Humility before New Scientific Evidence: We No Longer Have Moral Certainty that "Brain Death" Is True Death.

作者信息

Alexander Irene

机构信息

University of Dallas, Irving, TX, USA.

出版信息

Linacre Q. 2019 Nov;86(4):314-326. doi: 10.1177/0024363919874606. Epub 2019 Sep 20.

DOI:10.1177/0024363919874606
PMID:32431424
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6880085/
Abstract

UNLABELLED

In light of the current medical evidence, physicians and ethicists no longer have the moral certainty that Pope John Paul II deemed vital for vital organ transplantation. The current medical evidence suggests that some brain-dead patients do seem to exhibit signs of global integration. This article will analyze the interpretations of this evidence, both from ethicists for and against the neurological criteria. Even the strongest arguments in favor of the neurological criteria in light of the new evidence fail to prove that the patient with total brain failure (TBF) has died. Furthermore, the recent Jahi McMath case demonstrates a new and alarming reality that there is no way in practice to distinguish global ischemic penumbra from TBF. In the absence of the moral certainty required by Pope John Paul II, it is clear that the Catholic Church should immediately call for a halt on vital organ transplantation.

SUMMARY

This article analyzes the current medical evidence about brain death and argues that we have lost the moral certainty that Pope John Paul II deemed necessary for vital organ transplantation.

摘要

未标注

鉴于当前的医学证据,医生和伦理学家不再拥有教皇约翰·保罗二世认为对重要器官移植至关重要的道德确定性。当前的医学证据表明,一些脑死亡患者似乎确实表现出整体整合的迹象。本文将分析伦理学家对这一证据的解读,包括支持和反对神经学标准的观点。即使根据新证据,支持神经学标准的最有力论据也未能证明全脑功能衰竭(TBF)患者已经死亡。此外,最近的贾希·麦克马思案表明了一个新的、令人担忧的现实,即在实践中无法区分全球缺血半暗带和全脑功能衰竭。在缺乏教皇约翰·保罗二世所要求的道德确定性的情况下,显然天主教会应该立即呼吁停止重要器官移植。

总结

本文分析了当前关于脑死亡的医学证据,并认为我们已经失去了教皇约翰·保罗二世认为对重要器官移植必要的道德确定性。