Dixon J L, Smalley M G
JAMA. 1981 Nov 27;246(21):2471-2.
Physicians face a special challenge in treating Jehovah's Witnesses. Members of this faith have deep religious convictions against accepting homologous or autologous whole blood, packed RBCs, WBCs, or platelets. Many will allow the use of (non-blood-prime) heart-lung, dialysis, or similar equipment if the extracorporeal circulation is uninterrupted. Medical personnel need not be concerned about liability, for Witnesses will take adequate legal steps to relieve liability as to their informed refusal of blood. They accept nonblood replacement fluids. Using these and other meticulous techniques, physicians are performing major surgery of all types on adult and minor Witness patients. A standard of practice for such patients has thus developed that accords with the tenet of treating the "whole person'.
医生在治疗耶和华见证会信徒时面临特殊挑战。该宗教的成员有着强烈的宗教信念，反对接受同源或自体全血、浓缩红细胞、白细胞或血小板。如果体外循环不中断，许多人会允许使用（非血液预充的）心肺、透析或类似设备。医疗人员无需担心责任问题，因为见证人会采取适当的法律措施来免除他们因知情拒绝输血而产生的责任。他们接受非血液替代液。通过使用这些及其他精细技术，医生正在为成年和未成年见证会患者进行各类大手术。因此，针对这类患者形成了一种符合治疗“完整的人”这一宗旨的医疗实践标准。
