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器官移植倡议:处于模糊地带。

Organ transplant initiatives: the twilight zone.

作者信息

Price D P

机构信息

School of Law, De Montfort University, Leicester.

出版信息

J Med Ethics. 1997 Jun;23(3):170-5. doi: 10.1136/jme.23.3.170.

DOI:10.1136/jme.23.3.170
PMID:9220331
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1377346/
Abstract

Assessments of the acceptability of new transplantation practices require a pinpointing of not only the meaning of death, but also the timing of death. They typically perceive elective ventilation as occurring just prior to death and non-heart-beating donor protocols as operative just after death. However, such practices in fact highlight the general vagueness and ambiguity surrounding these issues in both law and ethics. Supply-side dilemmas in transplantation lend real urgency to this "life or death" debate.

摘要

对新移植实践可接受性的评估不仅需要明确死亡的定义,还需要确定死亡的时间。他们通常认为选择性通气发生在死亡前,而非心跳供体方案在死亡后实施。然而,这些实践实际上凸显了法律和伦理中围绕这些问题的普遍模糊性和不确定性。移植中的供应方困境使这场“生死”辩论具有了真正的紧迫性。

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Organ transplant initiatives: the twilight zone.器官移植倡议:处于模糊地带。
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The 'redefinition of death' debate: western concepts and western bioethics.“死亡的重新定义”之争:西方观念与西方生物伦理学
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本文引用的文献

1
Are the patients who become organ donors under the Pittsburgh protocol for "non-heart-beating donors" really dead?
Kennedy Inst Ethics J. 1993 Jun;3(2):167-78. doi: 10.1353/ken.0.0081.
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The irreversibility of death: reply to Cole.
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Statutory definitions of death and the management of terminally ill patients who may become organ donors after death.
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Contemporary transplantation initiatives: where's the harm in them?
J Law Med Ethics. 1996 Summer;24(2):139-49. doi: 10.1111/j.1748-720x.1996.tb01846.x.
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Non-therapeutic (elective) ventilation of potential organ donors: the ethical basis for changing the law.潜在器官捐献者的非治疗性(选择性)通气:修改法律的伦理依据。
J Med Ethics. 1996 Apr;22(2):72-7. doi: 10.1136/jme.22.2.72.
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Elective ventilation of potential organ donors.潜在器官捐献者的选择性通气
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Protocol for increasing organ donation after cerebrovascular deaths in a district general hospital.地区综合医院增加脑血管死亡后器官捐献的方案
Lancet. 1990 May 12;335(8698):1133-5. doi: 10.1016/0140-6736(90)91134-v.