Brayman K L, Vianello A, Morel P, Payne W D, Sutherland D E
Department of Surgery, University of Minnesota Hospital and Clinic, Minneapolis.
Crit Care Clin. 1990 Oct;6(4):821-39.
Vascularized organ transplantation is now a widely applied therapy for patients with end-stage diseases of the heart, lungs, liver, kidneys, and pancreas. A critical shortage of donor organs exists in the United States and, as a consequence, prospective transplant recipients die while waiting for a life-saving transplant. The apparent shortage of cadaver organs is, in large part, caused by the reluctance and failure of the physician and the public to promote cadaver organ donation. Educational awareness programs for both professional personnel and the public at large are needed to increase the number of potential donors and multiorgan procurements carried out. All victims of trauma with severe closed head injury or cerebrovascular catastrophe secondary to anoxia should be considered as potential organ donors and referred to the local organ procurement agency for evaluation.
血管化器官移植如今已广泛应用于患有心脏、肺、肝脏、肾脏和胰腺终末期疾病的患者。美国存在供体器官严重短缺的情况,因此,预期的移植受者在等待挽救生命的移植手术时死亡。尸体器官明显短缺在很大程度上是由于医生和公众不愿且未能推动尸体器官捐赠。需要针对专业人员和广大公众开展教育宣传项目,以增加潜在供体数量并进行多器官获取。所有因严重闭合性颅脑损伤或缺氧继发脑血管灾难的创伤受害者都应被视为潜在器官供体,并转介至当地器官获取机构进行评估。