DCD器官捐献和潜在器官维护(课堂PPT)

1、1,DCD器官捐献 126(3):569-573 In the 466 organ donations C-I (DBD) accounts for 9%, C-II (DCD) 47.5%, and C-III (DBCD) 43.5%.,14,美国情况,A total of 74 patients received DCD grafts and 1261 patients received DBD grafts during the study period. Liver Transpl. 2014 Apr 8. doi: 10.1002/lt.23888. Perioperative C

2、omplications in Liver Transplantation Using Grafts from Donation after Cardiac Death: A Propensity-matched Study. Pan X1, Apinyachon W, Xia W, Hong JC, Busuttil RW, Steadman RH, Xia VW 1Department of Anesthesiology, David Geffen School of Medicine at UCLA, Los Angeles, CA; Department of Anesthesiolo

3、gy, The First Affiliated Hospital of Nanjing Medical University, Nanjing, PR China.,15,日本,16,香港,17,香港,18,器官捐献-挑战,与频发的医疗纠纷共存； 与社会诚信危机共存； 与显著的供求差距共存； 与脑死亡法和器官捐献法的缺失共存；,19,我院DCD开展工作 （2014年）,20,病例,患儿，女，6月 诊断：复杂先天性心脏病并心功能衰竭 入住PICU心跳骤停，CPR后自主心跳恢复 自主呼吸、神志未恢复， 医院欠费，治疗困难 家属要求放弃治疗,21,病例,器官获取团队,红十字会人员,器官协调员,22

4、,病例,23,开展DCD器官捐献工作的初步体会,多学科合作 以器官移植科为主导，加强与辅助科室和相关职能部门协调与合作,24,潜在器官维护,25,供体信息收集评估,Liver transplantation (1st ed) 2014, Wiley blackwell, UK,26,DCD理想供体特征,Liver transplantation (1st ed) 2014, Wiley blackwell, UK,27,DCD捐献禁忌症,Liver transplantation (1st ed) 2014, Wiley blackwell, UK,28,潜在供体维护方案（成人）,Br J A

5、naesth 2012, 108 suppl1 :i96-107,29,潜在供体维护方案（成人）,Br J Anaesth 2012, 108 suppl1 :i96-107,30,潜在供体维护方案（成人）,Br J Anaesth 2012, 108 suppl1 :i96-107,31,潜在供体维护方案（成人）,Br J Anaesth 2012, 108 suppl1 :i96-107,32,潜在供体维护方案（成人）,Br J Anaesth 2012, 108 suppl1 :i96-107,33,潜在供体维护方案（成人）,Br J Anaesth 2012, 108 suppl1 :i96-107,34,潜在供体维护方案（成人）,Br J Anaesth 2012, 108 suppl1 :i96-107,35,潜在供体维护方案（成人）,Br J Anaesth 2012, 108 suppl1 :i96-107,36,潜在供体维护方案（成人）,Br J Anaesth 2012, 108 suppl1 :i96-107,37,潜在