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MaastrichtⅢ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。
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 and complications after transplantation can be decreased.
出处
《实用器官移植电子杂志》
2013年第1期22-25,共4页
Practical Journal of Organ Transplantation(Electronic Version)
基金
卫生部卫生公益性行业科研专项(201002004)
关键词
心脏死亡器官捐献
肝脏移植
肾脏移植
Donation after cardiac death
Liver transplantation
Kidney transplantation
