基于实例的DCD器官捐献移植伦理审查难点探讨  

Discussion on Difficulties of Ethical Review of DCD Organ Donation and Transplant based on Cases

作　　者：陈桂淑[1] 李兰[1] 余少鸿 张蕾 段隆睿 李红英[4] 蒋辉 王俊玲[1] 陈睿[1] CHEN Guishu;LI Lan;YU Shaohong;ZHANG Lei;DUAN Longrui;LI Hongying;JIANG Hui;WANG Junling;CHEN Rui(Office of Ethics, the First People's Hospital of Kunming, Kunming 650011, China;Department of General Surgery, the People's Hospital of Dazu, Chongqing, Chongqing 400900, China;School of Medicine, Kunming University of Science and Technology, Kunming 650011, China;Department of Science and Technology, the First Affiliated Hospital of Soochow University, Suzhou 215006, China;Scientific and Education Section, the People Hospital of Zhangzhou, Zhangzhou 363000, China)

机构地区：[1]昆明市第一人民医院伦理办公室,云南昆明650011 [2]重庆大足区人民医院普外科,重庆400900 [3]昆明理工大学医学院,云南昆明650011 [4]苏州大学附属第一医院科技处,江苏苏州215006 [5]漳州市人民医院科教科,福建漳州363000

出　　处：《中国医学伦理学》2022年第5期518-521,527,共5页Chinese Medical Ethics

基　　金：2021年度昆明市卫生科研课题立项项目(十百千工程类)“云南地区器官捐献影响因素分析”(2021-21-01-002)。

摘　　要：某医院器官移植技术与临床应用伦理委员会在多年的审查工作实践中,遇到了一些困境和典型案例,有时难以抉择。依据既往该院器官捐献移植伦理审查的经验,结合捐献移植审查中的两个典型实例对伦理审查中是否符合自愿无偿捐献及知情同意原则、风险/受益比是否合理两项审查要点加以讨论分析,提出符合伦理和法规的有关对策,供机构伦理委员会等各方进一步研究,为研讨器官捐献移植伦理审查实践难题和伦理困惑提供借鉴。The ethics committee of organ transplantation technology and clinical application in a hospital has encountered some difficulties and typical cases in its review work and practice for many years.Sometimes,it is difficult to make a decision in these dilemmas.Based on the previous experience of the hospital in the ethical review of organ donation and transplantation,combined with two typical cases,this paper discussed and analyzed two review points of whether the voluntary unpaid donation and the principle of informed consent were met,and whether the risk-benefit ratio was reasonable,and put forward relevant ethical and legal countermeasure for further research by institutional ethics committees and other parties,in order to provide reference for discussing the practical problems and ethical confusion of ethical review of organ donation and transplantation.

关 键 词：器官捐献移植 伦理审查 案例难点 

分 类 号：R-052[医药卫生]