一名严重多发伤患者的体外生命支持与多器官捐献：病例报告
Extracorporeal life support and multiorgan donation in a severe polytrauma patient: A case report.
作者信息
Balsorano Paolo, Ciapetti Marco, Cianchi Giovanni, Bonizzoli Manuela, Migliaccio Maria Luisa, Ferraro Maria Cristina, Franci Andrea, Peris Adriano
机构信息
Department of Health Science, Section of Anaesthesiology, Intensive Care and Pain medicine, Azienda Ospedaliero-Universitaria Careggi, Largo Brambilla 3, 50134 Florence, Italy.
Anestesiology and Emergency and Trauma Intensive Care Unit, Azienda Ospedaliero-Universitaria Careggi, Largo Brambilla 3, 50134 Florence, Italy.
出版信息
Int J Surg Case Rep. 2015;9:109-11. doi: 10.1016/j.ijscr.2015.02.054. Epub 2015 Mar 4.
INTRODUCTION
Organ availability represents a key factor in transplants due to an almost universal shortage of deceased donors.
PRESENTATION OF CASE
We present the case of a 41-year-old patients with severe polytrauma, where extracorporeal life support (ECLS) allowed brain death (BD) declaration and multiorgan retrieval and transplantation.
DISCUSSION
Organ procurement is of utmost importance for transplant procedures. The presented case could rise ethical doubts as ECLS could be viewed as a tool for organ preservation instead of patient support. Nonetheless, it is obvious how organ preservation represents the necessary condition for patient preservation.
CONCLUSION
Besides it' role in non heart beating donors, ECLS is emerging as an adjunctive tool for brain dead donors management when standard treatment fails, potentially allowing a substantial increase in organ availability.
引言
由于已故捐赠者几乎普遍短缺，器官供应是移植手术中的一个关键因素。
病例介绍
我们介绍了一名41岁严重多发伤患者的病例，在此病例中，体外生命支持（ECLS）使得患者能够被宣布脑死亡（BD），并进行多器官获取和移植。
讨论
器官获取对于移植手术至关重要。该病例可能引发伦理质疑，因为ECLS可能被视为一种器官保存工具而非患者支持手段。尽管如此，器官保存显然是患者存活的必要条件这一点很明显。
结论
除了在非心脏跳动捐赠者中的作用外，当标准治疗失败时，ECLS正逐渐成为管理脑死亡捐赠者的辅助工具，这有可能大幅增加器官供应。
Zotero 插件