Gheorghita E, Rata O, Trifu M
Spitalul Clinic de Urgenţă Bagdasar-Arseni, Bucureşti, Romania.
Chirurgia (Bucur). 2010 Mar-Apr;105(2):225-8.
Organ transplantation is a multidisciplinary speciality that has undergone a remarkable development in the last two decades, saving the lives of patients in advanced failure of various organs. Medical management of organ donors is an essential component of achieving success in transplantation. It requires a good knowledge and understanding of the pathological changes caused by brain death, changes that usually require a diagnosis and a rapid treatment. In our study we intend to analyse the problems that we encountered during preparation of the donors. Hypovolemia, insipid diabetes, pulmonary edema, maintaining viability of organs in optimal conditions are important aspects which influences donation success to a large number of recipients. Between January 2007 - July 2009 in the ICU department of Bagdasar Arseni Emergency Hospital, Bucharest we had 47 potential organ donors, of which only 20 actually came to organ donation. A significant percentage of potential donors are lost due to complications and/or because of denial of consent by the family.
器官移植是一门多学科专业，在过去二十年中取得了显著发展，挽救了各种器官功能严重衰竭患者的生命。器官捐献者的医疗管理是移植成功的重要组成部分。这需要对脑死亡引起的病理变化有充分的了解，这些变化通常需要诊断并迅速治疗。在我们的研究中，我们打算分析在准备捐献者过程中遇到的问题。血容量不足、尿崩症、肺水肿以及在最佳条件下维持器官的活力是对大量接受者的捐献成功产生影响的重要方面。2007年1月至2009年7月期间，在布加勒斯特的巴格达萨尔·阿尔塞尼急诊医院重症监护室，我们有47名潜在器官捐献者，其中只有20人实际进行了器官捐献。相当一部分潜在捐献者因并发症和/或家属拒绝同意而流失。
