Pêgo-Fernandes P M, Samano M N, Fiorelli A I, Fernandes L M, Camargo S M, Xavier A M, Sarmento P A, Bernardo W M, de Castro M C Ribeiro, Jatene F B
Department of Cardiopneumonology, Hospital das Clinicas, Medical School, University of São Paulo, São Paulo, Brazil.
Transplant Proc. 2011 Jan-Feb;43(1):216-9. doi: 10.1016/j.transproceed.2010.12.050.
Selection criteria for lung donation were based on initial experiences with lung transplantation without further studies to improve them, thereby guaranteeing the best use of donated organs. A definition of an extended criteria donor is therefore required to obtain more lungs to meet the demands of patients awaiting transplantation. Studies have been reviewed for the impact on survival and morbidity of age ranges, oxygen fraction, cause of death, smoking habits, x-ray findings, infection, hepatitis serology and non-heart-beating status, seeking to support physicians to make decisions regarding the use of marginal organs.
肺捐赠的选择标准基于肺移植的初步经验,没有进一步研究来改进这些标准,从而确保捐赠器官得到最佳利用。因此,需要对扩大标准供体进行定义,以获取更多肺脏来满足等待移植患者的需求。已对有关年龄范围、氧分压、死亡原因、吸烟习惯、X光检查结果、感染、肝炎血清学和非心脏跳动状态对生存率和发病率影响的研究进行了综述,旨在支持医生就边缘器官的使用做出决策。