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[近期死亡患者的器官捐献。一家捐献医院的经验以及处理潜在器官捐献者及其亲属的建议]

[Organ donation from recently deceased patients. Experiences from a donor hospital and suggestions for handling potential organ donors and their relatives].

作者信息

Lund T, Wester K

机构信息

Anestesi- og intensivavdelingen, Haukeland sykehus, Bergen.

出版信息

Tidsskr Nor Laegeforen. 1992 Oct 20;112(25):3190-3.

PMID:1462291
Abstract

Homologous organ transplantation using organs from patients suffering complete destruction of the brain and brain stem is a major achievement in modern medicine. The care of potential organ donors and their relatives is complex and very demanding for the medical team and nursing staff. In Norway the law sets very clear criteria (documentation of total irreversible brain and brain stem injury) for performing donation. As a rule consent from the family is asked for, although not legally required. This article deals with the problems related to the treatment of potential organ donors. We give practical guidelines for medical staff on how to prepare the patient and his/her family, with emphasis on the human and psychosocial aspects. Preservation of the donor and the organs is not discussed.

摘要

使用脑和脑干完全受损患者的器官进行同种异体器官移植是现代医学的一项重大成就。对潜在器官捐赠者及其亲属的护理工作复杂,对医疗团队和护理人员要求极高。在挪威,法律为器官捐赠制定了非常明确的标准(全脑和脑干不可逆损伤的证明)。通常会征求家属的同意,尽管法律并未强制要求。本文探讨了与潜在器官捐赠者治疗相关的问题。我们为医务人员提供了关于如何让患者及其家属做好准备的实用指南,重点关注人文和社会心理方面。本文不讨论捐赠者和器官的保存问题。

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