全球DCD发展趋势及临床实践的要点  

The key points of development trend and clinical practice of global donation after cardiac death

作　　者：吴晓梁[1] 陈岗[2] 郑东华[2] 丁之明[2] 江文诗 Wu Xiaoliang;Chen Gang;Zheng Donghua;Ding Zhiming;Jiang Wenshi(the First Affiliated Hospital,College of Medicine,Zhejiang University,Hangzhou 310003,China)

机构地区：[1]浙江大学医学院附属第一医院,杭州310003 [2]中山大学附属第一医院 [3]国际器官捐献与移植注册中心

出　　处：《器官移植》2020年第1期93-97,共5页Organ Transplantation

基　　金：中欧器官捐献领导力培训与专业技术输送计划项目（573787-EPP-1-2016-1-ES-EPPKA2-CBHE-JP）

摘　　要：器官移植给许多终末期器官衰竭患者带来了治愈希望。但人体器官来源不足已成为严重制约人体器官移植发展的重要因素之一。心脏死亡器官捐献(DCD)是扩充供者来源的一种安全途径,各国在努力提高脑死亡器官捐献(DBD)数量的同时,在条件允许的情况下不应错失DCD的机会。本文从DCD历史背景和全球发展趋势、可控型DCD实施的基本条件、可控型DCD实践中的关键问题以及伦理审查等方面进行探讨。Organ transplantation has brought hope for healing of patients with end-stage organ failure.However,the shortage of human organs has become one of the important factors that severely restrict the development of human organ transplantation.Donation after cardiac death(DCD)is a safe way to expand the source of donors.While trying to make extensive effort to increase the quantity of donation after brain death(DBD),countries attempt to grasp the opportunity of DCD when conditions permit.In this article,the historical background and global development trend of DCD,fundamental conditions for the implementation of controllable DCD,key issues and ethical review in the practice of controllable DCD were discussed.

关 键 词：器官捐献 器官移植 公民逝世后器官捐献 伦理审查 器官获取组织 脑死亡器官捐献 心脏死亡器官捐献 

分 类 号：R617[医药卫生—外科学]