Yokota Hiroyuki
Department of Emergency and Critical Care Medicine, Nippon Medical School.
Nihon Rinsho. 2010 Dec;68(12):2322-6.
The revised organ transplantation law has been gone into effect from July, 2010 in Japan. We discuss about the problems for organ procurement system from the point of a donor hospital. These problems are heavy burden for donor hospital and organ procurement from a donor of child. The criteria of brain death of child have to be established. And the donation of organ spends much time and requires many specialists. For example, it takes about more than 45 hours from the diagnosis of clinical brain death to the end of organ harvesting. To reduce a heavy burden for a donor hospital, supporting system have to be established for the donor hospital and the donor family. The organ procurement procedure is strictly regulated by the legal guidelines; we propose that the new framework is redesigned rapidly within the new law and the guidelines.
修订后的器官移植法于2010年7月在日本生效。我们从供体医院的角度讨论器官获取系统存在的问题。这些问题包括供体医院负担过重以及从儿童供体获取器官。必须确立儿童脑死亡的标准。而且器官捐赠耗时久且需要众多专家参与。例如，从临床脑死亡诊断到器官摘取结束大约需要45个多小时。为减轻供体医院的沉重负担，必须为供体医院和供体家庭建立支持体系。器官获取程序受到法律准则的严格监管；我们建议在新法律和准则范围内迅速重新设计新框架。
