公民逝世后器官捐献130例临床分析  

Clinical analysis of 130 cases of donation after citizens death in China

作　　者：韩明[1] 王小平[1] 袁小鹏[1] 周健[1] 陈传宝[1] 林建伟[1] 焦兴元[1] 陈岗[1] 邰强[1] 郭志勇[1] 何晓顺[1] 

机构地区：[1]中山大学附属第一医院器官移植中心,广州510080

出　　处：《中华器官移植杂志》2014年第7期387-391,共5页Chinese Journal of Organ Transplantation

基　　金：卫生行业科研专项子课题（2011-2013）

摘　　要：目的 总结单中心公民逝世后器官捐献的实施经验.方法 2011年7月至2014年6月,对单中心实施的130例公民逝世后器官捐献的临床资料进行回顾性分析和总结.结果 130例捐献者中,男性105例,女性25例,最大年龄为62岁,最小年龄为10个月.其中中国一类（国际标准化脑死亡器官捐献）15例,中国二类（国际标准化心脏死亡器官捐献）73例,中国三类（中国过渡时期脑-心双死亡器官捐献）42例.73例中国二类捐献中,属于Maastricht标准Ⅲ类者66例,属于Maastricht标准Ⅴ类7例.应用以上供者的捐献器官,共实施肝移植122例,肾移植228例,心脏移植12例,肺移植2例,上腹部多器官移植6例,在体劈离式肝移植4例,均取得良好移植效果.结论 在严格的供者筛查和评估下,公民逝世后器官捐献能够安全和有效地应用于器官移植中.Objective To analyze the experience of donation after citizens death,and investigate the questions in our country.Method The organs were obtained from 130 cases of organ donation in a single center,and the clinical data were analyzed retrospectively.Result From July 2011 to June 2014,there were 105 males and 25 females in the enrolled 130 donors,and the oldest age was 62 years and youngest one was only 10 months.130 donations included 15 cases of donation after brain death （DBD）,73 cases of donation after cardiac death（DCD）,and 42 cases of donation after brain death awaiting cardiac death（DBCD）.In 73 cases of DCD,there were 66 cases of Maastricht category Ⅲ and 7 cases of Maastricht category Ⅴ.With these donated organs,122 cases of liver transplantations,228 cases of renal transplantations,12 cases of heart transplantation,2 cases of lung transplantations,6 cases of multivisceral transplantation and 4 cases of in vivo splitting liver transplantation were carried out successfully.Conclusion By strict screening and evaluation,the organs of donation after death can be utilized in clinical organ transplantation safely and effectively.

关 键 词：供者 器官获得 器官捐献 器官移植 

分 类 号：R193.3[医药卫生—卫生事业管理]