新型冠状病毒肺炎疫情期间器官捐献及肝移植围手术期防控经验  

Preventions and perioperative managements of organ donation and liver transplantation during the pandemic of novel coronavirus pneumonia

作　　者：孙力波[1] 栗光明 武聚山[1] 刘源[1] 林栋栋[1] 伏志[1] 王振顺[1] 李文磊[1] 杨耿侠[1] Sun Libo;Li Guangming;Wu Jushan;Liu Yuan;Lin Dongdong;Fu Zhi;Wang Zhenshun;Li Wenlei;Yang Gengxia(Department of General Surgery&Liver Transplant Center,Beijing You'an Hospital,Capital Medical University,Beijing 100069,China)

机构地区：[1]首都医科大学附属北京佑安医院普外科,肝移植中心,北京100069

出　　处：《中华器官移植杂志》2020年第4期217-220,共4页Chinese Journal of Organ Transplantation

摘　　要：目的:探讨新型冠状病毒肺炎(COVID-19)疫情期间器官捐献与肝移植围手术期工作策略调整,总结经验。方法:根据国家卫生健康委员会及中华医学会器官移植专业委员会的指导意见,首都医科大学附属北京佑安医院制定了COVID-19疫情期间器官捐献及肝移植围手术期防控策略,并观察防控及诊疗效果。收集2020年2月4日至3月7日完成的8例器官捐献和7例肝移植手术临床资料。所有病例器官捐献前或移植手术前24 h 2次2019新型冠状病毒(2019-nCoV)核酸检测均为阴性。结果:手术均成功完成。所有供、受者均无外科并发症,住院期间未出现2019-nCoV感染,1例受者术后出现肺部感染,筛查排除COVID-19,经保守治疗后好转。结论:COVID-19疫情期间,通过采取严密有效的防控措施,可保证器官捐献和移植工作顺利开展,并取得理想临床效果。Objective To explore the anti-epidemic preventions and perioperative management strategies of organ donation and liver transplantation during the pandemic period of novel coronavirus pneumonia(NCP)and summarize the experiences.Methods On the basis of guidance of National Health Commission and Organ Transplantation Committee of Chinese Medical Association,anti-epidemic preventions and perioperative management strategies of organ donation and liver transplantation were adjusted under the background of NCP pandemic and the anti-epidemic preventions and treatment outcomes were evaluated.Eight organ donations and 7 liver transplantations were performed from February 4 to March 7,2020.NCP infection screening results were negative in all pre-donation and pre-transplantation cases.Results All donation operations and liver transplantations were successfully performed without postoperative complications.No NCP occurred during hospitalization period.Postoperative pulmonary infection occurred in 1 case(1/7)and the following novel coronavirus screening result was negative.Pulmonary inflammation became partially absorbed after antibacterial therapy.Conclusions Through strict and effective anti-epidemic preventions and perioperative managements,organ donation and transplantation could be successfully performed during the pandemic period of NCP.

关 键 词：肝移植 新型冠状病毒肺炎 器官捐献 

分 类 号：R657.3[医药卫生—外科学]