活跃吸烟者不应该被拒绝接受肺移植
1Independent researcher.
概括
积极吸烟应该是一个相对的,而不是绝对的,肺移植的禁忌. 目前的证据不支持肺移植接受者在移植后恢复吸烟的死亡率增加.
科学领域:
- 肺部病理学 肺部病理学
- 移植手术 移植手术
- 公共卫生 公共卫生
背景情况:
- 积极吸烟是肺移植的绝对禁忌.
- 这种排除是基于对资源分配的高风险和公平性.
- 现有的关于移植后吸烟的文献没有显示死亡率增加.
研究的目的:
- 重新评估活跃吸烟对肺移植的禁忌.
- 挑战排除吸烟者的功利主义和公平论据.
- 倡导有关活跃吸烟者获得肺移植的政策变化.
主要方法:
- 对吸烟者的移植后结果的文献综述.
- 对肺移植的禁忌进行比较分析.
- 伦理和公平论据的评估.
主要成果:
- 在可用的文献中,移植后恢复吸烟并没有证明死亡率增加.
- 具有较高死亡风险的疾病 (例如,再移植) 被视为相对的禁忌.
- 责任和公平的论点不能充分支持排除活跃吸烟者.
结论:
- 积极吸烟应该被认为是肺移植的相对,而不是绝对的禁忌.
- 应该对移植政策进行修订,以改善活跃吸烟者的吸烟机会,特别是那些急需吸烟的人.
- 吸烟不应该成为不遵守禁令的不适当替代品;必须解决耻辱问题.
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