国内外经循环标准确定死亡后器官捐献的最新进展  

The latest progress on donation after the circulatory determination of death at home and abroad

作　　者：陈岗[1] 韩明[1] 何湘湘 江文诗 Chen Gang;Han Ming;He Xiangxiang;Jiang Wenshi(The First Affiliated Hospital of Sun Yat-sen University,Guangzhou 510080,China)

机构地区：[1]中山大学附属第一医院,广州510080 [2]山西省人体器官获取与分配服务中心

出　　处：《器官移植》2021年第4期384-390,共7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：器官短缺是全球移植界共同面临的难题,寻找多渠道的供者器官来源成为器官移植界的当务之急。近日,关于"扩大可控型经循环标准确定死亡后器官捐献(cDCDD)实践的联合声明"受到学术界的广泛关注,该声明旨在推广cDCDD,以提高器官捐献率,以期实现移植自给自足的最终目标。本文将整理声明提及的重点内容,阐述经循环标准确定死亡后器官捐献(DCDD)的学术名称更新及相关讨论、DCDD的发展趋势、构成cDCDD临床路径的基本部分及影响实施cDCDD的关键因素,思考该声明对我国器官捐献事业可持续发展的启示。Organ shortage is a common problem in the field of transplantation worldwide.It is urgent to expand the donor pool via different effective and safe approaches.Recently,"the statement from international collaborative on expanding controlled donation after the circulatory determination of death(cDCDD)"has attracted widespread attention from scholars.The statement aims to promote cDCDD in order to increase organ donation rates,with the ultimate goal of achieving self-sufficiency in transplantation.In this article,the key contents mentioned in the statement were summarized,the terminology update and relevant discussion of donation after the circulatory determination of death(DCDD),the development trend of DCDD,the basic part of the clinical pathway of cDCDD and the key factors affecting the implementation of cDCDD were illustrated,and the inspiration drew from this statement to the sustainable development of organ donation program in China was reflected.

关 键 词：器官捐献 器官移植 器官短缺 公民逝世后器官捐献 器官获取组织(OPO) 经神经系统标准确定死亡后器官捐献(DNDD) 经循环标准确定死亡后器官捐献(DCDD) 撤除生命维持治疗(WLST) 

分 类 号：R617[医药卫生—外科学]