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循环死亡后供体器官移植。

Organ transplantation from donors after circulatory death.

作者信息

Polak Wojciech G

出版信息

Cas Lek Cesk. 2017 Winter;156(7):364-369.

Abstract

The scarcity of organs for transplantation resulted in the increase of organ donation after circulatory death. This review describes the current practice with donors after circulatory death (DCD), recent classification of DCD and organ procurement from DCD. Then the outcome of organ transplantation from is discussed and the new strategies in DCD are presented. Despite of the fact that DCD are extended criteria donors, strict organ selection and novel technologies as machine perfusion or normothermic perfusion allows better utilization of DCD with a similar outcome as from donors after brain death.

摘要

可用于移植的器官稀缺导致了心脏死亡后器官捐献的增加。本综述描述了目前心脏死亡后捐献者(DCD)的实践情况、DCD的最新分类以及从DCD获取器官的情况。然后讨论了DCD器官移植的结果,并介绍了DCD的新策略。尽管DCD属于扩大标准供体,但严格的器官选择以及诸如机器灌注或常温灌注等新技术能够更好地利用DCD,其移植结果与脑死亡后供体的移植结果相似。

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