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腹主动脉联合门静脉快速灌注法在器官捐献供体肝肾联合获取中的应用

邓斐文 陈焕伟 甄作均 王峰杰 李杰原 胡健垣 计勇

邓斐文, 陈焕伟, 甄作均, 等. 腹主动脉联合门静脉快速灌注法在器官捐献供体肝肾联合获取中的应用[J]. 器官移植, 2015, 6(1): 51-54, 58. doi: 10.3969/j.issn.1674-7445.2015.01.011
引用本文: 邓斐文, 陈焕伟, 甄作均, 等. 腹主动脉联合门静脉快速灌注法在器官捐献供体肝肾联合获取中的应用[J]. 器官移植, 2015, 6(1): 51-54, 58. doi: 10.3969/j.issn.1674-7445.2015.01.011
Deng Feiwen, Chen Huanwei, Zhen Zuojun, et al. Application of fast perfusion through abdominal aorta and portal vein in combined liver and kidney procurement from organ donation[J]. ORGAN TRANSPLANTATION, 2015, 6(1): 51-54, 58. doi: 10.3969/j.issn.1674-7445.2015.01.011
Citation: Deng Feiwen, Chen Huanwei, Zhen Zuojun, et al. Application of fast perfusion through abdominal aorta and portal vein in combined liver and kidney procurement from organ donation[J]. ORGAN TRANSPLANTATION, 2015, 6(1): 51-54, 58. doi: 10.3969/j.issn.1674-7445.2015.01.011

腹主动脉联合门静脉快速灌注法在器官捐献供体肝肾联合获取中的应用

doi: 10.3969/j.issn.1674-7445.2015.01.011
基金项目: 

广东省医学科研基金 A2014697

佛山市医学类科技攻关项目 2014AB00263

佛山市卫生局医学科研基金 2014029

详细信息
    通讯作者:

    陈焕伟, Email:chwei_fsyyy@163.com

  • 中图分类号: R617

Application of fast perfusion through abdominal aorta and portal vein in combined liver and kidney procurement from organ donation

More Information
  • 摘要:   目的  总结腹主动脉联合门静脉快速灌注法在器官捐献供体肝肾联合获取中的可行性和安全性。  方法  回顾性分析2011年9月至2014年6月在佛山市第一人民医院完成的43例中国心脏死亡供体器官捐献肝肾联合获取的临床资料。43例供体中, 中国心脏死亡供体分类一类(脑死亡供体)(C-Ⅰ类)15例, 中国二类(心脏死亡供体)(C-Ⅱ类)1例, 中国三类(脑-心双死亡捐献供体)(C-Ⅲ类)27例。器官灌注采用腹主动脉、门静脉快速插管联合灌注法。  结果  开腹至腹主动脉插管时间约1.5~2.0 min, 43例供体共获得肝脏43个, 肾脏86个。C-Ⅰ类供体热缺血时间全部为0, 其余供体热缺血时间范围为3~21 min, 平均10 min。2例供肝分别因肝门部严重损伤和重度脂肪肝弃用, 18例供肾分别因肾结石、肾萎缩、术前血清肌酐水平较高、肾动脉粥样硬化严重、肾微小血管血栓、多发肾囊肿、外伤性肾破裂等原因弃用, 供体器官总弃用率为16%。  结论  腹主动脉联合门静脉快速灌注法是器官捐献供体肝肾联合获取的简单、安全的方法。

     

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出版历程
  • 收稿日期:  2014-10-28
  • 网络出版日期:  2021-01-19
  • 刊出日期:  2015-01-15

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