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新冠疫情期间器官捐献流程的管理:土耳其首例

Management of an Organ Donation Process in COVID-19 Pandemic: First Case of Turkey.

作者信息

Yakar Mehmet Nuri, İstan Pakize, Gürkök Mehmet Çağatay, Yıldız Diren, Yaka Erdem, Gökmen Ali Necati

机构信息

Department of Anaesthesiology and Reanimation, Division of Intensive Care, Dokuz Eylül University School of Medicine, İzmir, Turkey.

Department of Neurology, Dokuz Eylül University School of Medicine, İzmir, Turkey.

出版信息

Turk J Anaesthesiol Reanim. 2020 Jun;48(3):244-247. doi: 10.5152/TJAR.2020.607. Epub 2019 Jun 1.

DOI:10.5152/TJAR.2020.607
PMID:32551453
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7279873/
Abstract

The first case of coronavirus disease 2019 (COVID-19) was defined as unexplained pneumonia on December 8, 2019, and then it rapidly caused a pandemic and affected transplantation rates negatively. Organ donation processes got more complex because the exclusion of the disease in a short period became more difficult than normal. The exclusion of the disease is vital not only for recipients but also for the medical staff, transplantation teams, and intensive care professionals to reduce the transmission risk. The main steps for diagnosis of COVID-19 are investigation of symptoms, recollection of travel and physical contact history, and testing using the real time polymerase chain reaction (RT-PCR) test. Although it has limitations such as false negative results, RT-PCR is the most accurate method to detect COVID-19, and it is mandatory before donation processes in many countries. In this case report, we aim to share our experience about the first organ donation during the COVID-19 pandemic in Turkey.

摘要

2019年12月8日,首例2019冠状病毒病(COVID-19)被定义为不明原因肺炎,随后迅速引发大流行并对移植率产生负面影响。器官捐献流程变得更加复杂,因为在短时间内排除该疾病比正常情况更加困难。排除该疾病不仅对受者至关重要,对医务人员、移植团队和重症监护专业人员降低传播风险也至关重要。COVID-19诊断的主要步骤包括症状调查、旅行和身体接触史回顾以及使用实时聚合酶链反应(RT-PCR)检测。尽管RT-PCR存在假阴性结果等局限性,但它是检测COVID-19最准确的方法,在许多国家,捐献流程前进行该检测是强制性的。在本病例报告中,我们旨在分享在土耳其COVID-19大流行期间首例器官捐献的经验。

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Hepatobiliary Surg Nutr. 2020 Apr;9(2):250-252. doi: 10.21037/hbsn.2020.03.16.
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Donor organ evaluation in the era of coronavirus disease 2019: A case of nosocomial infection.2019年冠状病毒病时代的供体器官评估:一例医院感染病例
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Temporal dynamics in viral shedding and transmissibility of COVID-19.新冠病毒脱落和传播的时间动态。
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The COVID-19 outbreak in Italy: Initial implications for organ transplantation programs.意大利的 COVID-19 疫情:对器官移植项目的初步影响。
Am J Transplant. 2020 Jul;20(7):1780-1784. doi: 10.1111/ajt.15904. Epub 2020 Apr 17.
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COVID-19: A global transplant perspective on successfully navigating a pandemic.COVID-19:从全球移植角度成功应对大流行。
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Lancet Infect Dis. 2020 Apr;20(4):425-434. doi: 10.1016/S1473-3099(20)30086-4. Epub 2020 Feb 24.
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Chest CT Findings in Coronavirus Disease-19 (COVID-19): Relationship to Duration of Infection.胸部计算机断层扫描在 2019 年冠状病毒病(COVID-19)中的表现:与感染持续时间的关系。
Radiology. 2020 Jun;295(3):200463. doi: 10.1148/radiol.2020200463. Epub 2020 Feb 20.
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Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study.中国武汉 99 例 2019 年新型冠状病毒肺炎患者的流行病学和临床特征:描述性研究。
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