Department of Neurology, Shodo-kai Southern Tohoku General Hospital, Japan.
Department of Neurology, Tohoku University Hospital, Japan.
Intern Med. 2024 Jan 15;63(2):305-307. doi: 10.2169/internalmedicine.1574-23. Epub 2023 May 24.
The patient was 57 years old when he was diagnosed with amyotrophic lateral sclerosis (ALS) at 1 year after developing bulbar symptoms. At 58 years old, he stated that he was considering donating his kidney to his son suffering from diabetic nephropathy. We confirmed the patient's intentions through repeated interviews before his death at 61 years old. Nephrectomy was performed 30 min after his cardiac death. Organ donation spontaneously proposed by an ALS patient should be considered in order to meet the requests of patients who want their families and other patients to live longer, thereby imparting a beneficial legacy through their deaths.
患者 57 岁时出现延髓症状 1 年后被诊断为肌萎缩侧索硬化症（ALS）。58 岁时，他表示考虑将自己的肾脏捐献给患有糖尿病肾病的儿子。在患者 61 岁去世前，我们通过多次访谈确认了他的意愿。在患者心脏死亡后 30 分钟进行了肾切除术。应考虑接受 ALS 患者主动提出的器官捐献，以满足希望自己的家人和其他患者活得更长的患者的要求，从而通过死亡留下有益的遗产。
