生死邊界：「心臟停止死亡後器官捐贈參考指引」研析【本期企劃】 試閱
Between Life and Death Critical Analysis of Donation after Cardiac Death Guidelines
為擴大捐贈器官來源，除了腦死捐贈外，心臟停止後死亡捐贈在近年重新受到重視。為免爭議，2017年衛福部發布「心臟停止死亡後器官捐贈參考指引」，目的是為後者建構一套完整且可供遵循的作業程序。然而，該指引是否能符合現行相關法令？有無偏離一般醫學倫理原則？安寧緩和醫療與維繫器官功能的利弊得失，又該如何取捨？本文將從參考指引的內容出發，說明其重要內涵後，以本文觀點為分析與探討。
In order to expand the source of donated organs, in addition to donation after brain death (DBD), donation after cardiac death (DCD) has been pay attention in recent years again. In order to avoid controversy, the Ministry of Health and Welfare issued the “Donation after cardiac death guidelines” in 2017. The purpose is to construct a complete SOP for DCD. However, the guidelines comply with current relevant laws and regulations? Does it deviate from general medical ethic principles? How to choose between the pros and cons of hospice palloative care and maintenance of organ function? This article will try to explain the key points of the reference guideline and analyze and discuss the reference guideline.
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