实用器官移植电子杂志 ›› 2013, Vol. 1 ›› Issue (1): 22-25.

• 论著 • 上一篇    下一篇

心脏死亡器官捐献移植单中心经验总结

武小桐,王振兴,陈花
  

  1. 山西省第二人民医院移植透析中心,山西 太原 030012
  • 出版日期:2013-01-20 发布日期:2021-04-20
  • 基金资助:
    卫生部卫生公益性行业科研专项(201002004)

Single-center experience of organ donation after cardiac death

WU Xiao-tong,WANG Zhen-xing,CHEN Hua.
  

  1. The Center of Renal Transplantation and Dialysis,the Second People's Hospital of Shanxi Province,Taiyuan 030012,Shanxi,China
  • Online:2013-01-20 Published:2021-04-20

摘要:

目的 通过分析本院实施的心脏死亡器官捐献(DCD)移植病例,探讨国内 DCD 器官移植的可行性和注意事项。方法 回顾 2011 年 1 月至 2012 年 9 月本院移植透析中心所涉及 DCD 捐献者的临床资料,并进行经验总结。结果 4 例 DCD 者共实施了 7 例肾移植和 4 例肝移植,所有捐献者属于国际标准Maastricht Ⅲ类,热缺血时间为 10~18 分钟。7 例肾移植受者中,1 例采用双肾带膀胱袢移植。所有受者手术顺利,移植物功能恢复良好,无并发症发生,无移植患者死亡。结论 严格掌握潜在捐献者的筛选标准,实施可控的 DCD 程序,可以扩大供者来源,减少移植手术后并发症的发生。

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Abstract:

Objective To analyze transplantation cases in our hospital using the organs of donors after cardiac death(DCD),and explore its feasibility and announcement. Methods The organs were obtained from DCD during January 2011 to September 2012 in this hospital,and clinical data of DCD were analyzed retrospectively. Results Seven renal transplantations and 4 liver transplantations were performed by using 4 cases of DCD. DCD were performed by the classification of Maastricht Ⅲ criteria. Donor warm ischemic time was 10-18 minutes. Among the seven kidney transplantation patients,one patient experienced double kidney plus bladder loop transplantation. All patients were alive with excellent graft function,and without complication or death. Conclusions We need to strictly control the criteria for potential donors. By controlled DCD program,donor resources can be expanded andcomplications after transplantation can be decreased.

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