Gennrich J M
JACEP. 1977 Jan;6(1):21-5. doi: 10.1016/s0361-1124(77)80281-5.
The introduction of public funding for treatment of patients with endstage renal disease has greatly increased the number of patients who can benefit from kidney transplantation. The emergency physician should be alert for the type of trauma victim suitable for organ donation. Moreover, it is important that the physician understand the concept of brain death so that the removal of organs can take place as soon as possible. Certain aspects of kidney maintenance can begin before death has been declared but the total care of the patient must remain foremost. Management of the precadaveric organ donor is identical to that of any patient in a life-threatening situation. In the cadaver stage, the main difference is an increase in fluid input. The emergency physician should be aware of state laws regarding brain death and permission from the next of kin to harvest an organ.
为终末期肾病患者提供公共资金用于治疗，极大地增加了能够从肾移植中受益的患者数量。急诊医生应警惕适合器官捐赠的创伤受害者类型。此外，医生理解脑死亡的概念非常重要，以便能尽快进行器官摘除。在宣布死亡之前，可以开始肾脏维护的某些方面，但对患者的全面护理必须始终是首要的。尸体器官捐献者生前的管理与任何处于危及生命状况的患者相同。在尸体阶段，主要区别在于液体输入量增加。急诊医生应了解有关脑死亡的州法律以及近亲同意摘取器官的情况。
