Prod'hom L S
Bull Schweiz Akad Med Wiss. 1980 Nov;36(4-6):373-9.
In view of the recent advances in reanimation of the newborn infant, parents, physicians and nursing staff have now to face the ethical dilemma of the quality of the surviving infant with severe brain damage which excludes a further normal development. The author discusses the situation of an infant with trisomy 21 and a total intestinal atresia: a surgical intervention leads to a living human being with a severe mental, and physical handicap; a non-intervention will let the newborn die even if he could be saved. The decision has to be made with the parents in agreement with the nursing staff, but without involving a policy making outside committee.
鉴于新生儿复苏技术的最新进展，父母、医生和护理人员现在不得不面对一个伦理困境：患有严重脑损伤的存活婴儿的质量问题，这排除了其进一步正常发育的可能性。作者讨论了一名患有21三体综合征和完全性肠闭锁的婴儿的情况：手术干预会导致一个患有严重智力和身体残疾的活人；不进行干预则会让新生儿死亡，即使他本可以被救活。这个决定必须在与护理人员达成一致的情况下，由父母做出，而不涉及外部决策委员会。
