心臟死後器官捐贈的倫理思考【月旦時論】 試閱
An Ethical Thinking about the Organ Donation after the Heart Dying
器官短缺為國際共同問題。臺灣目前有9000多位病人在等待器官，其中7000多位為等待腎臟的末期腎病病人，而1年腎臟捐贈量一直維持在200例左右，故增加器官捐贈量以調節供需刻不容緩。近年國外為增加器官捐贈，造福更多病患，重啟心臟死後器官捐贈，成效卓著。反觀臺灣，自1987年人體器官移植條例公告實施以來，大愛捐贈病人一直根據同年公告的腦死判定程序（後更名為準則）診斷腦死後執行器官捐贈。曾經使用的心臟死後器官捐贈技術已幾乎被擱置。近3年專家就此議題之倫理、法律面、技術面等重新討論，期望有朝一日臺灣也能在無倫理爭議之狀況下，重啟心臟死後器官捐贈，以嘉惠更多重症病患。
The shortage of organs is an international common issue. There are more than 9000 patients waiting for a organ in Taiwan. 7000 of them are patients, with end stage of kidney disease, waiting for a kidney. There are only 200 kidneys donated per year. The critical problem is how to balance the demands and supplies of organs. In some countries, they restart the non-heart beating organ donation program to increase the amount of donated organs, so that more patients could survive. Their achievement is great. By contrast, in Taiwan, the donors have to be diagnosed to be brain death according to the Procedure of the Judgement of Brian Death since 1987, the year that uman Organ Transplantation Act?was signed into law. The techniques of organ donation after cardiac death were suspended consequently. In the past three years, transplantation specialists discussed this non-heart beating organ donation issue again under the prospects of ethic, laws and techniques, in order to ethically restart organ donation after cardiac death. By doing so, more patients could be benefited in the future.
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