Currier H
J Perinat Neonatal Nurs. 1994 Jun;8(1):74-8. doi: 10.1097/00005237-199406000-00009.
While treatment for the neonate continues to be challenging, current technical advances offer more options. Before the 1980s chronic dialysis was technically so difficult for neonates and infants that most considered it impossible; in the 1990s renal replacement therapy is a viable choice. The purpose of this article is neither to advocate active intervention nor passive supportive care, but to help the reader consider questions frequently faced when deciding what to do for a neonate with end-stage renal disease (ESRD). Today ethical issues are tied closely to health care reform, so this bioethical dilemma has only begun. As health care reform addresses benefits of care, the bioethical dilemmas raised by neonates with ESRD will need to carefully considered.
虽然新生儿的治疗仍然具有挑战性，但当前的技术进步提供了更多选择。在20世纪80年代之前，慢性透析对于新生儿和婴儿来说在技术上非常困难，以至于大多数人认为这是不可能的；而在20世纪90年代，肾脏替代疗法成为了一种可行的选择。本文的目的既不是提倡积极干预，也不是提倡被动支持性护理，而是帮助读者思考在决定如何治疗患有终末期肾病（ESRD）的新生儿时经常面临的问题。如今，伦理问题与医疗改革紧密相关，所以这种生物伦理困境才刚刚开始。随着医疗改革涉及到医疗福利，患有ESRD的新生儿所引发的生物伦理困境将需要仔细考量。
