日本首例儿科供体心脏的儿科心脏移植。
First pediatric heart transplantation from a pediatric donor heart in Japan.
机构信息
Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Suita, Japan.
出版信息
Circ J. 2012;76(3):752-4. doi: 10.1253/circj.cj-11-1001. Epub 2012 Jan 25.
BACKGROUND
Since the revision of the Japanese Organ Transplantation Act, children younger than 15 years old can donate their organs after brain death.
METHODS AND RESULTS
A teenage boy with endstage restrictive cardiomyopathy underwent the first heart transplantation with a pediatric donor heart in Japan on April 12, 2011. He had a good postoperative clinical course and no histological rejection episodes. His waiting period was relatively short (237 days) compared with adult patients, because of the pediatric patient-first policy for a pediatric donor heart.
CONCLUSIONS
To increase pediatric heart transplantation in Japan, further enlightenment of the general population about pediatric organ donation is desirable.
背景
自日本《器官移植法》修订以来，15 岁以下的儿童在脑死亡后可以捐献器官。
方法和结果
2011 年 4 月 12 日，一名患有终末期限制性心肌病的少年在日本接受了首例使用儿科供体心脏的心脏移植。他术后临床过程良好，无组织学排斥反应。与成年患者相比，他的等待时间相对较短（237 天），这是因为儿科供体心脏实行儿科患者优先政策。
结论
为了增加日本的儿科心脏移植数量，有必要进一步向公众宣传儿科器官捐献。
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