RESUMEN
Explainable artificial intelligence (AI) promotes the development of medicine and raises different ethical challenges. This new challenge is manifested in two aspects, including pre-interpretation and post-interpretation. The technical root of the ethical issues leading to the medical application of explainable AI is the negative effects of explainable technology, the social root is the lack of relevant moral principles and legislation, and the root of subjectivity lies in the diversity of interests of various stakeholders. Therefore, the solutions to the problem are to strengthen technological innovation, explainable AI medical application ethics education, training of medical staff and interdisciplinary cooperation, improve relevant moral principles, laws and regulations, and realize personalized interactive interpretation.