Abstract：
Nineteen people refusing a blood transfusion in anticipation of thoracic surgery were met at the Clinical Ethics Center (AP-HP, Paris, France). The article reflects on the right place that respect for autonomy plays in medical decisions regarding (non)transfusion when medical practice would recommend it. Three patient profiles emerge: \"categorical refusals\", \"refusals while affirming the need to live\" and \"refusals accompanied by doubt\". Without neglecting the arguments relating to other principles of biomedical ethics (beneficence, non-maleficence, justice), the idea is to enable healthcare professionals to better assess the different situations they face and in particular those in which respect for autonomy seems essential. If the majority of people concerned by the issue are Jehovah\'s Witnesses, and although this religion is sometimes stigmatized, this work sheds light on the place of their wishes hold in medical decisions on (non)transfusion. Healthcare professionals could contact ethics units and ask them to carry out this same assessment in their own different.
摘要：
在临床伦理中心（AP-HP，巴黎,法国)。本文反映了在医疗实践推荐时，尊重自主权在有关（不）输血的医疗决定中的正确位置。出现了三个患者简介：“分类拒绝”，“在确认需要生活的同时拒绝”和“伴随怀疑的拒绝”。在不忽视与生物医学伦理的其他原则(慈善，非恶意,justice),这个想法是让医疗保健专业人员更好地评估他们面临的不同情况，特别是那些尊重自主权似乎至关重要的情况。如果与这个问题有关的大多数人是耶和华见证人，尽管这种宗教有时会受到污名化，这项工作揭示了他们的愿望在（不）输血的医疗决定中的地位。医疗保健专业人员可以联系道德部门，并要求他们以自己的不同方式进行相同的评估。
