中国一类器官捐献婴幼儿供者腹部器官切取(附6例报告)  

Methods and techniques for organ procurement from Chinese first category infant's donation after cardiac death

作　　者：郭庆军[1] 蔡金贞[1] 高伟[1] 李俊杰[1] 李江[1] 潘澄[1] 邓永林[1] 郑虹[1] 沈中阳[1] 

机构地区：[1]天津市第一中心医院移植外科,天津300192

出　　处：《实用器官移植电子杂志》2014年第5期283-285,共3页Practical Journal of Organ Transplantation(Electronic Version)

基　　金：国家自然科学基金(81170443);天津市卫生局科技基金(2013KZ034)

摘　　要：目的对中国一类器官捐献婴幼儿供者腹部器官切取手术方法的特点与技巧进行总结，观察器官移植后移植物的功能。方法回顾性分析2012年7月至2014年6月天津市第一中心医院6例中国一类器官捐献婴幼儿供者器官切取的临床资料，采用改良上腹部多器官联合切取法切取供者器官。结果6例供者器官的平均热缺血时间为2分钟（1.0～3.6分钟），器官切取手术操作顺利，切取手术平均时间为46分钟（36～58分钟）。共获得供肝6个，供肾12个；所获取器官进行肝移植6例，肾移植6例（双肾移植）。1例肾移植受者术后7天因肾静脉血栓切除移植肾，其他移植手术均顺利，移植器官的功能恢复良好，未出现原发性移植物无功能等并发症。随访3～16个月，都健康存活。结论在中国一类器官捐献婴幼儿供者器官切取手术中，应用改良的上腹部多器官联合切取法，安全可靠，可以保证获取高质量的供者器官。Objective To investigate the methods and techniques for organ procurement from Chinese first category infant donation after cardiac death,and to evaluate post-transplant outcomes. Methods In this retrospective study, clinical data of 6 cases of Chinese first category infant donation after cardiac death organ procurements were analyzed Modified epigastric multivisceral organ harvesting were performed in all of the cases. Results The average warm ischemia time was 2 minutes(1.0~3.6 minutes)with the average procurement time of 46 minutes(36~58 minutes). Six livers and 12 kidneys were procured followed by 6 cases of liver transplantation,6 cases of en-bloc kidney transplantation. All of the recipients were healthy for 3 ~ 16 months follow-up without primary non-function and other complications except one who underwent transplant nephrectomy due to renal vein thrombosis on post operation day 7. Conclusion Modified epigastric multivisceral organ harvesting is a safe method for organ procurement from Chinese first category infant donation after cardiac death guaranteeing procurement of high quality of organs.

关 键 词：婴幼儿 器官切取 

分 类 号：R726.5[医药卫生—儿科]