儿童器官获取组织和器官移植管理体系的探索与实践  

The exploration and practice of organ procurement organization and organ transplantation management system in children

作　　者：裘妃 高志刚[1] 汪伟[1] 王晓豪[1] 杨子浩[1] 陈青江[1] 盛美君[1] 赵杭燕[1] Qiu Fei;Gao Zhigang;Wang Wei;Wang Xiaohao;Yang Zihao;Chen Qingjiang;Sheng Mejun;Zhao Hangyan(Department of OPO,Children's Hospital,Zhejiang University School of Medicine,National Clinical Research Center for Child Health,Hangzhou 310052,China)

机构地区：[1]浙江大学医学院附属儿童医院OPO办公室、国家儿童健康与疾病临床医学研究中心,杭州310052

出　　处：《中华移植杂志（电子版）》2024年第2期93-97,共5页Chinese Journal of Transplantation(Electronic Edition)

基　　金：浙江省“尖兵”“领雁”研发攻关计划资助(2023C03029)。

摘　　要：险随着我国器官移植技术的快速发展、国家相关法律法规的不断完善以及公民逝世后器官捐献意愿的提升,器官获取组织(OPO)的重要性愈加凸显。儿童器官捐献和获取较成年人面临更为复杂的管理与应用情境,受到技术、伦理和文化等一系列因素的制约,因此在捐献比例和转化率上远低于成年人,然而等待器官移植的患儿比例却逐年增加。浙江大学医学院附属儿童医院自2018年开展院内0P0管理体系的探索与实践,至2022年12月31日潜在捐献者总数约70例,其中完成器官获取的捐献者数量为29例,器官捐献转化率为41.43%。在组织架构建设、专业人才培养及工作流程探索等方面均取得一定经验和效果,为未来进一步提升与完善儿童器官捐献管理工作提供借鉴。With the rapid development of organ transplantation technology in China,the continuous improvement of relevant national laws and regulations,and the enhancement of citizens'willingness to donate organs after death,the importance of organ procurement organization(OPO)becomes more and more prominent.Compared with adults,organ donation by children and acquisition face more complex management and application situations,and restricted by a series of factors such as technology,ethics and culture,so the proportion and conversion rate of donation are far lower than that of adults.However,the proportion of children waiting for organ transplantation is increasing year by year.Children's Hospital,Zhejiang University School of Medicine started the exploration and practice of OPO management system in the hospital from 2018,and the total number of potential donors was about 70 cases by December 31,2022,among which the number of child organ donors who completed organ procurement was 29 cases,and the conversion rate of organ donation was 41.43%.Some experience and effect have been obtained in organizational structure construction,professional personnel training and work process exploration,which provides reference for further improving and perfecting the management of organ donation by children in the future.

关 键 词：器官获取组织 器官捐献 器官移植 儿童 管理 实践 

分 类 号：R617[医药卫生—外科学]