The use of anencephalic infants as organ sources. A critique.
The use of anencephalic infants as organ sources. A critique.
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使用无脑婴儿作为器官来源。
DOI：
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发表时间：
1989
期刊：
影响因子：
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通讯作者：
B. Schulman
中科院分区：
文献类型：
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作者：
D. Shewmon;A. Capron;W. Peacock;B. Schulman
最近，美国放弃了唯一有效的从无脑“捐赠者”身上获取器官的协议，这表明了这种努力所固有的实际和伦理问题。各种数据表明，令人惊讶的是，几乎没有这样的器官最终会让其他儿童受益。试图修改统一解剖赠与法或统一死亡判定法，以允许对自发呼吸的无脑婴儿进行器官切除，但面临着重大的伦理反对。即使这在理论上不会造成伦理问题，对社会的最终伤害也不会被这些器官的少数幸存接受者的利益所抵消。此外，为无脑婴儿提供重症监护往往会像保护其他器官一样有效地保护脑干，可以预见的是，脑死亡的发生不太可能发生。因此，尽管对新生儿器官的需求很大，但无脑儿并不像一些人希望的那样具有吸引力。
The recent abandonment of the only active US protocol for harvesting organs from anencephalic "donors" indicates both the practical and the ethical problems inherent in such an effort. Various data suggest that surprisingly few such organs would actually end up benefiting other children. Attempts to revise either the Uniform Anatomical Gift Act or the Uniform Determination of Death Act to allow organ removal from spontaneously breathing anencephalic infants face major ethical objections. Even if this posed no ethical problem in theory, the ultimate harm to society would not be offset by the good of the few surviving recipients of these organs. Furthermore, providing anencephalic infants with intensive care would tend to preserve the brain stem as effectively as the other organs, predictably rendering the occurrence of brain death unlikely. Thus, despite the great need for newborn organs, anencephalic infants are not as attractive a source as some had hoped.
生命第一年的肝移植和Kasai手术：胆道闭锁的治疗困境。
DOI：
10.1016/s0022-3476(87)80548-6
发表时间：
1987
期刊：
The Journal of pediatrics
影响因子：
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作者：
Lilly,JR;Hall,RJ;Altman,RP
通讯作者：
Altman,RP