Department of Neurology, University of California at San Francisco, USA.
Ann Neurol. 2012 Feb;71(2):154-6. doi: 10.1002/ana.22525. Epub 2012 Feb 14.
Patients with amyotrophic lateral sclerosis (ALS) are often told that solid organ donation is not possible following death, although the reasons for exclusion are not evidence based. Because ALS patients typically remain sentient until death, organs may be procured under donation after cardiac death protocols. Anticipating this need, our institution created a process for organ donation in ventilator-dependent ALS patients that was subsequently implemented. To our knowledge, this is the first report of organ donation in a patient with rapidly progressive ventilator-dependent ALS.
肌萎缩侧索硬化症（ALS）患者通常被告知死后无法进行实体器官捐献，尽管排除的原因没有依据。由于 ALS 患者通常在死亡前仍有意识，因此可以根据心脏死亡后捐献协议获取器官。为了满足这一需求，我们的机构制定了一项针对依赖呼吸机的 ALS 患者进行器官捐献的流程，随后该流程得到了实施。据我们所知，这是首例快速进展的依赖呼吸机的 ALS 患者进行器官捐献的报告。
