Malm Torsten, Jögi Peeter, Bergkvist Bibbi, Johansson Jens, Johnsson Per, Florén Ingrid, Gustafsson Inger, Berling Anna-Brita
Barnhjärtkirurgiska sektionen, Universitetssjukhuset, Lund.
Lakartidningen. 2002 Oct 3;99(40):3938-43.
Tissue transplantation is more common than organ transplantation. Legislative changes in 1996 transformed tissue banking and conditions for tissue transplantation in Sweden. After an initial decrease in donated tissue, heart valves are now available in sufficient numbers, but there is sometimes a shortage of valves the right size for pediatric cardiac surgery. Since the new transplantation legislation was implemented there has been an increase in the number of valves from neonatal donation and after sudden infant death. The number of donated corneas does not correspond to the number required for transplantation. A number of tissue coordinators have been established throughout the country and recently some new tissue banks were founded to increase the amount of tissue available for transplantation. The organization of the tissue bank in Lund is described. There is a lack of knowledge about tissue transplantation and donation among health professionals as well as the general public, and more education is warranted.
组织移植比器官移植更为常见。1996年的立法变革改变了瑞典的组织库和组织移植条件。在捐赠组织最初有所减少之后,目前心脏瓣膜的供应数量充足,但有时仍短缺适合小儿心脏手术的尺寸合适的瓣膜。自新的移植立法实施以来,新生儿捐赠和婴儿猝死之后提供的瓣膜数量有所增加。捐赠角膜的数量与移植所需数量不符。全国各地已设立了一些组织协调员,最近还成立了一些新的组织库,以增加可用于移植的组织数量。文中描述了隆德组织库的组织情况。卫生专业人员和普通公众对组织移植和捐赠缺乏了解,因此有必要开展更多教育。