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一例心脏死亡供体无偿捐献供肝行原位肝移植的经验和体会
引用本文:周志刚,李超,李立,蒋文虎,杨丽华,程传贤. 一例心脏死亡供体无偿捐献供肝行原位肝移植的经验和体会[J]. 中国医学伦理学, 2012, 25(2): 171-173
作者姓名:周志刚  李超  李立  蒋文虎  杨丽华  程传贤
作者单位:1. 昆明市第一人民医院重症医学科,云南昆明,650011
2. 昆明医学院社科部,云南昆明,650031
基金项目:昆明市科学技术局重点项目:“无心跳供体器官的临床应用研究”,编号:昆科计字09H130201
摘    要:目的 总结心脏死亡供体器官捐献具体流程和经验.方法 对1例潜在器官捐献者经脑死亡评估和供体器官功能评估后,纳入心脏死亡器官捐献(Donation after Cardiac Death,DCD)程序,并严格按照心脏死亡器官捐献程序进行工作.结果 本例供体成功完成了肝脏捐献及获取流程,所获取供肝成功植入受体.结论 成功获取心脏死亡供体捐献的器官,为推广心脏死亡供体器官的捐献积累了经验.

关 键 词:心脏死亡供体  脑死亡  器官捐献  肝移植  伦理委员会  伦理现状

Orthotopic Liver Transplantation of Free Donation after Cardiac Death:a Case Report
ZHOU Zhi-gang , LI Chao , LI Li , JIANG Wen-hu , YANG Li-hua , CHENG Chuan-xian. Orthotopic Liver Transplantation of Free Donation after Cardiac Death:a Case Report[J]. Chinese Medical Ethics, 2012, 25(2): 171-173
Authors:ZHOU Zhi-gang    LI Chao    LI Li    JIANG Wen-hu    YANG Li-hua    CHENG Chuan-xian
Affiliation:1 Department of Critical Care Medicine,Kunming First People’s Hospital,Kunming 650011,China; 2 Department of Social Science,Kunming Medical College,Kunming 650031,China)
Abstract:Objective:Summarize the experience of organ donation and the procedure after cardiac death.Methods:One case of potential organ donor was evaluated according to the diagnostic criterion of brain death and the organ function were firmly assessed,and then began the procedure of donation after cardiac death,following the rules.Results:In this case,the donor’s liver and corneas were successfully procured,the liver was successfully transplanted into a recipient.Conclusion:Strictly following the protocol of organ donation and procedure after cardiac death provided experiences for promoting the development of organ transplantation.
Keywords:Donation after Cardiac Death  Brain Death  Organ Donation  Liver Transplantation  Ethics Committee  Ethical Situation
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