CAJ | 학술논문

目的总结符合“中国心脏死亡器官捐献分类标准”中国三类(C-Ⅲ)标准的器官捐赠及移植的经验.方法 2011-2012年间,符合C-Ⅲ标准的心脏死亡器官捐赠(DCD)者4例,在手术室进行可控性心跳及呼吸终止后,进行了器官捐赠.获取器官的热缺血时间为7～15 min.结果除1例捐赠的肝脏进行快速病理学检查外,其他器官均质地良好.捐赠器官用于肝移植3例,肾移植8例,手术顺利,仅1例受者出现移植肾功能恢复延迟,受者均未发生排斥反应和外科并发症.出院后,移植物功能良好.结论使用符合C-Ⅲ标准的捐赠器官可获得满意的移植效果.
목적 총결부합“중국심장사망기관연헌분류표준”중국삼류(C-Ⅲ)표준적기관연증급이식적경험.방법 2011-2012년간,부합C-Ⅲ표준적심장사망기관연증(DCD)자4례,재수술실진행가공성심도급호흡종지후,진행료기관연증.획취기관적열결혈시간위7～15 min.결과 제1례연증적간장진행쾌속병이학검사외,기타기관균질지량호.연증기관용우간이식3례,신이식8례,수술순리,부1례수자출현이식신공능회복연지,수자균미발생배척반응화외과병발증.출원후,이식물공능량호.결론 사용부합C-Ⅲ표준적연증기관가획득만의적이식효과.
Objective To discuss the curative effect of transplantation using donation after cardiac death (DCD) according with Chinese standard Ⅲ (C-Ⅲ).Methods The organs were obtained from 4 DCDs from 2011 to 2012,and the clinical data of DCD transplantation were retrospectively analyzed.Withdrawal of life support occurred in the operating room.Donor warm ischemia time was 7-15 min.Results The biopsy of liver was performed on the 3rd DCD.Eight cases were subjected to renal transplantations,and 3 to liver transplantations.One patient exhibited delayed graft function of the kidney from the 4th DCD.All patients made an uneventful recovery and were discharged from the hospital without rejection or surgical complication.They were followed up in outpatient department.Conclusion The use of DCD according with C-Ⅲ is an effective way to increase the number of organs available for transplantation,and can obtain satisfactory effects.