Gäbel H, Ahonen J, Södal G, Lamm L
Department of Transplantation Surgery, Karolinska Institute, Huddinge Hospital, Sweden.
Transplant Proc. 1994 Jun;26(3):1715-6.
In countries with active organ transplant programs and wide acceptance criteria for transplant recipients, such as the four Scandinavian countries, the need for organ grafts has outgrown the supply of cadaveric organs. We cannot expect to attain the maximum number of cadaveric donors every year and in every procurement area because the number of donors depends not only on the efficacy of the procurement program but also on the age of the population, incidence of road traffic accidents, treatment facilities, and other factors. The maximum numbers are set as a goal to strive for, however, Countries that participate in an exchange of cadaver organs to obtain well-matched kidneys for uremic patients and life-saving grafts at a suitable time for heart, lung, and liver recipients, must all have the same approximate number of cadaver donors. Major imbalances in the number of donors and also in the number of patients waiting for a transplantation may result in the supply of organ allografts for one country or region being met by the population of another region. With confidence we are looking forward to the impact of intensified public information and education of hospital personnel on the gap between demand and supply of organ allografts.
在拥有活跃的器官移植项目以及对移植受者广泛接受标准的国家，比如四个斯堪的纳维亚国家，器官移植的需求已经超过了尸体器官的供应。我们无法期望在每年以及每个获取区域都达到尸体供者的最大数量，因为供者数量不仅取决于获取项目的成效，还取决于人口年龄、道路交通事故发生率、治疗设施以及其他因素。然而，设定最大数量作为努力的目标。参与尸体器官交换以在合适时间为尿毒症患者获取匹配良好的肾脏以及为心脏、肺和肝脏移植受者获取挽救生命的移植物的国家，必须都有大致相同数量的尸体供者。供者数量以及等待移植患者数量的严重失衡可能导致一个国家或地区的同种异体器官移植供应由另一个地区的人口来满足。我们满怀信心地期待加强公众宣传以及对医院工作人员的教育对同种异体器官移植供需差距所产生的影响。
