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儿童器官捐献供体肝肾联合获取经验总结

邓斐文 陈焕伟 甄作均 李杰原 王峰杰 胡健垣

邓斐文, 陈焕伟, 甄作均, 等. 儿童器官捐献供体肝肾联合获取经验总结[J]. 器官移植, 2017, 8(5): 392-395, 405. doi: 10.3969/j.issn.1674-7445.2017.05.011
引用本文: 邓斐文, 陈焕伟, 甄作均, 等. 儿童器官捐献供体肝肾联合获取经验总结[J]. 器官移植, 2017, 8(5): 392-395, 405. doi: 10.3969/j.issn.1674-7445.2017.05.011
Deng Feiwen, Chen Huanwei, Zhen Zuojun, et al. Experience summary of combined liver and kidney procurement from pediatric organ donation[J]. ORGAN TRANSPLANTATION, 2017, 8(5): 392-395, 405. doi: 10.3969/j.issn.1674-7445.2017.05.011
Citation: Deng Feiwen, Chen Huanwei, Zhen Zuojun, et al. Experience summary of combined liver and kidney procurement from pediatric organ donation[J]. ORGAN TRANSPLANTATION, 2017, 8(5): 392-395, 405. doi: 10.3969/j.issn.1674-7445.2017.05.011

儿童器官捐献供体肝肾联合获取经验总结

doi: 10.3969/j.issn.1674-7445.2017.05.011
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

Experience summary of combined liver and kidney procurement from pediatric organ donation

More Information
    Corresponding author: Chen Huanwei, Email: chwei_fsyyy@163.com
  • 摘要:   目的  探讨儿童器官捐献供体肝肾联合获取的临床经验。  方法  收集2011年10月至2016年12月佛山市第一人民医院6例儿童器官捐献供体肝肾联合获取的临床资料,总结其临床经验。  结果  根据国家卫生和计划生育委员会脑损伤质控评价中心制定的儿童脑死亡判定标准,6例儿童供体均在脑死亡状态下进行器官捐献肝肾联合获取,采用7号吸痰管髂外动脉插管或24 F导尿管髂总动脉插管、门静脉和腹主动脉灌注、胸主动脉阻断的肝肾联合灌注的改良方法。手术时间55~60 min,共成功获取6个供肝、12个供肾,所获取肝肾均成功应用于临床肝、肾移植,受者均未发生移植肝或移植肾原发性无功能。  结论  在儿童器官捐献供体中成功进行肝肾联合获取的关键在于及时进行脑死亡判定、严格谨慎的器官维护措施和肝肾联合获取技术的改良。

     

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出版历程
  • 收稿日期:  2017-07-20
  • 网络出版日期:  2021-01-19
  • 刊出日期:  2017-09-15

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