吉林省颅脑损伤后器官捐献140例临床分析

目的总结吉林省颅脑损伤后器官捐献者的临床资料及相关经验，为进一步提高公民逝世后器官捐献率提供依据。 方法对2013年1月至2015年12月期间吉林省公民逝世后器官捐献的临床资料进行回顾性分析和总结。 结果3年中，吉林省共有140例公民逝世后器官捐献，皆来源于颅脑损伤供者，共捐献器官数量619个，包括108个肝脏、269个肾脏、3个心脏、5个肺脏等。创伤性颅脑损伤供者81例，约占57.9%；非创伤性颅脑损伤供者，包括脑出血、脑干出血、蛛网膜下腔出血等共59例，约占42.1%。车祸导致的颅脑创伤供者65例，约占80.2%；摔伤导致的颅脑创伤供者11例，约占13.6%；高处坠落导致的颅脑创伤供者5例，约占6.2%。创伤性颅脑损伤供者捐献了63个肝脏、160个肾脏、2个心脏、3个肺脏。颅脑创伤供者平均年龄低于脑出血供者。 结论颅脑损伤器官捐献者是公民逝世后器官捐献的重要来源，加强颅脑损伤潜在器官捐献者转化为实际捐献者，是缓解器官短缺的重要途径。

Clinical analysis of 140 cases of organ donation after brain injury in Jilin province

ObjectiveTo analyze the clinical data and the experience of organ donation after brain injury and provide a reference to increase the rate of organ donation after citizen death. MethodFrom January 2013 to December 2015, the clinical data of organ donation after citizen death in Jilin province were analyzed retrospectively. ResultsIn the past three years, there were 140 cases of organ donation after citizen death in Jilin province. All of donors came from patients with brain injury. 619 organs were obtained, including 108 livers, 269 kidneys, 3 hearts, 5 lungs and so on. There were 81 cases of donors with traumatic brain injury (TBI), accounting for 57.9% of all donors and there were 59 cases of donors with non-traumatic brain injury, representing 42.1%, which include cerebral hemorrhage, brain stem hemorrhage, subarachnoid hemorrhage and so on. 65 cases of TBI donors with traffic accidents accounted for 80.2% of TBI donors and 11 cases of TBI donors with falling down, accounting for 13.6%, and 5 cases of donors with falling from height, representing 6.2%. Donors with TBI provided 63 livers, 160 kidneys, 2 hearts, and 3 lungs. In addition, the mean age of donor with TBI is smaller than that of donor with cerebral hemorrhage. ConclusionDonor with brain injury is an important resource of organ donation after citizen death. To promote potential organ donor with brain injury into actual organ donor is the significant approach for solving the organ shortage.