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Abstract:

Objective To explore the preservation way of donor suitable for Chinese practice with referenceto foreign maintenance experience of brain-dead donor. Methods Foreign maintenance documents of brain-dead organ donation（DBD）donor were reviewed and combined with the conditions of donors after cardiac death （DCD）in the First Hospital of Jilin University to improve the donation rates and the utilization ratio of organ donorsby strengthening the management duringbrain-dead period. Results 15 cases of cardiac death organ donation had been done from August 2011 to August 2012 in the First Hospital of Jilin University. Vasoactive agents were used to maintain blood pressure，heart rate，and water，electrolyte and acid-base imbalance were corrected aggressively，vital signs and urineoutput were maintained. 15 cases of donor completed donation successfully by donating a total of 12 livers and 22 kidneys. 1 case of donor underwent delayed graft function（DGF）and slow graft function（SGF）after renal transplantation because of the low blood pressure lasting 30 minutes in the process of cardiopulmonary resuscitation（CPR）. Another transplant recipient died of the postoperative liver recipients of primary liver function（PNF）and secondary renal failure because the 62 - year - old donor had long-term hypertension and the medicalhistory of cerebral hemorrhage for many times. All other organs were good in quality. The recipients recovered smoothly after transplantation，follow-up so far showed that the grafts functioned well. Conclusion Cardiacdeath organ donation is the only way for organ transplantation in our country，which is of great significance to save more patients with end-stage organ failure by strengthening the management of brain-dead donor and improvingthe utilization rate of the organ.

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