文摘
的出现情况下所谓的“慢性脑死亡”似乎破坏了bio-philosophical理由脑死亡是真正的死亡,这是建立在死亡的想法需要集成的生物的损失。严重神经受损的病人可以用适当的支持似乎持续多年综合生物常识表明,他们没死。然而,我们认为,仅仅是集成为有机体活着是不够的,但这必须大幅众生自我积分(即。,a living organism must itself be the primary source of its integration and not an external agent such as a scientist or physician). We propose that irreversible apnea and unresponsiveness are necessary but not sufficient to judge that a human being has lost sufficient capacity for self-integration to be considered dead. To be declared dead, the patient must also irrevocably have lost either (1) cardiac function or (2) cerebro-somatic homeostatic control. Even if such bodies can be maintained with sufficient technological support, one may reasonably judge that the locus of integration effectively has passed from the patient to the treatment team. While organs and cells may be alive, one may justifiably declare that there is no longer a substantially autonomous, whole, living human organism. This bio-philosophical conception of death implies that the notion of brain death remains viable, but that additional testing will be required to ensure that the individual is truly brain dead by virtue of having irrevocably lost not only the capacity for spontaneous respiration and conscious responsiveness, but also the capacity for cerebro-somatic homeostatic control.
- 收到了2023年2月9日。
- 接受的最终形式2023年3月28日。
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