Cunningham P R, Foil M B
Department of Surgery, Trauma Service, East Carolina, University School of Medicine, Greenville, North Carolina 27834.
J Natl Med Assoc. 1990 Nov;82(11):769-71.
The number of satisfactory vascular organs suitable for organ transplantation can be increased appreciably by a close working relationship between traumatologists and transplant surgeons. Benefits will derive from more precise and rapid field management of brain-injured patients, with subsequent appropriate stabilization. If brain death is declared, prompt referral for organ donation with optimal management should result in well-functioning organs for transplantation. A defined team approach with well-defined protocols could solve most of the medical and moral dilemmas. Compassionate emotional support should be provided for families, particularly minorities, and should extend to inexperienced staff. Underlying these goals are a strong institutional commitment to staff education and an understanding of the lifesaving role that organ transplantation can play.
创伤科医生与移植外科医生之间密切的合作关系，可以显著增加适合器官移植的合格血管器官数量。通过对脑损伤患者进行更精确、快速的现场处理，并随后进行适当的稳定治疗，将会带来益处。如果宣布脑死亡，及时转诊进行器官捐献并给予最佳处理，应能获得功能良好的移植器官。采用明确的团队方法和明确的方案，可以解决大多数医学和道德困境。应向家属，特别是少数族裔家属，提供富有同情心的情感支持，这种支持还应扩展到经验不足的工作人员。这些目标的背后，是机构对员工教育的坚定承诺，以及对器官移植所能发挥的挽救生命作用的理解。
