|
|
提高大器官利用率的单中心经验
|
Abstract:
目的：探讨本中心提高大器官利用率的方法及总结相关经验。方法：回顾性分析2018年至2020年青岛大学附属医院471例公民逝世后器官捐献情况及各年度器官利用率，分析提高大器官利用率所采取的相关措施。结果：本中心471例器官捐献者中，男性392例(83.2%)，女性79例(16.7%)，最大年龄为76岁，最小年龄为9个月，平均年龄(48.73 ± 14.96)岁。血型分类中A型118例，B型145例，O型161例，AB型47例。共捐献大器官1514个；年度大器官利用率最高达3.35。结论：潜在供体的评估及转运、远程多中心–心肝肺多脏器功能评估体系、边缘供体的器官维护技术、多器官联合获取体系、新技术创新及应用可提高大器官利用率。
Objective: To explore the method of improving the utilization rate of major organs in our center and summarize relevant experience. Methods: Summarize the organ donation status of 471 citizens after the death of The Affiliated Hospital of Qingdao University from 2018 to 2020, retrospectively analyze the organ utilization rate of each year, and analyze the relevant measures taken to improve the utilization rate of major organs. Results: Among the 471 organ donors in our center, 392 were males (83.2%) and 79 were females (16.7%). The maximum age was 76 years, the minimum age was 9 months, and the average age was (48.73 ± 14.96) years. There were 118 cases of type A, 145 cases of type B, 161 cases of type O, and 47 cases of type AB. A total of 1514 major organs were donated; the annual utilization rate of major organs was as high as 3.35. Conclusion: Evaluation and transportation of potential donors, remote multi-center-multi-organ function evaluation system, organ maintenance technology of marginal donors, multi-organ joint acquisition system, new technology innovation and application can improve the utilization rate of major organs.
| [1] | 王少发, 陈孝平. 中国肝移植发展概况[J]. 中华器官移植杂志, 2018, 39(5): 307-310.
https://doi.org/10.3760/cma.j.issn.0254-1785.2018.05.011 |
| [2] | Badovinac, K., Greig, P.D., Ross, H., Doig, C.J., Shemie, S.D. (2006) Organ Utilization among Deceased Donors in Canada, 1993-2002. Canadian Journal of Anesthesia, 53, Article No. 838. https://doi.org/10.1007/BF03022802 |
| [3] | 中国人体器官捐献管理中心. 因爱而行 向阳而生——中国人体器官捐献工作十周年(2010-2020) [M]. 北京: 中国人体器官捐献管理中心, 2020: 10. |
| [4] | 冀冰心. 某三甲医院重症监护室医务人员器官捐献知识与捐献态度调查[J]. 医学教育管理, 2018, 4(4): 338-341.
https://doi.org/10.3969/j.issn.2096-045X.2018.04.018 |
| [5] | 潘爱军, 王庞, 谢朝阳, 等. 为生命接力, ICU助力器官捐献的关键策略[J]. 器官移植, 2020, 11(2): 288-292.
https://doi.org/10.3969/j.issn.1674-7445.2020.02.017 |
| [6] | 陈传宝, 韩明, 王小平, 等. 心脏死亡器官捐献供肾弃用原因分析[J]. 中华移植杂志(电子版), 2017, 11(3): 170-172.
https://doi.org/10.3877/cma.j.issn.1674-3903.2017.03.009 |
| [7] | 叶啟发, 王彦峰. 医学影像技术在我国临床器官移植领域的应用[J]. 中华器官移植杂志, 2019, 40(4): 193-194.
https://doi.org/10.3760/cma.j.issn.0254-1785.2019.04.001 |
| [8] | 赵明坤, 许传屾, 王峰, 等. ECMO联合CRRT技术在脑死亡伴心肺功能不全供者器官功能维护中的应用[J]. 中华器官移植杂志, 2019, 40(5): 293-297. https://doi.org/10.3760/cma.j.issn.0254-1785.2019.05.009 |
| [9] | 施辉波, 王心强, 徐晶, 等.《移植器官质量与安全指南(第6版)》解读——器官的获取、保存和运输[J]. 器官移植, 2020, 11(2): 276-281. https://doi.org/10.3969/j.issn.1674-7445.2020.02.015 |
| [10] | 范宁, 李志强, 郭源, 等. 公民逝世后器官捐献原位劈离式肝移植单中心经验[J]. 中华移植杂志(电子版), 2017, 11(4): 216-220. |
| [11] | 陈栋, 陈实. 多米诺肝移植[J]. 肝胆外科杂志, 2002, 10(1): 78-80.
https://doi.org/10.3969/j.issn.1006-4761.2002.01.040 |
