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因损伤和非创伤性颅内出血死亡者中可移植器官和组织的潜在可获得性。

Potential availability of transplantable organs and tissues in fatalities from injury and nontraumatic intracranial hemorrhage.

作者信息

Waller J A, Haisch C E, Skelly J M, Goldberg C G

机构信息

Department of Medicine, University of Vermont, Burlington 05405.

出版信息

Transplantation. 1993 Mar;55(3):542-6. doi: 10.1097/00007890-199303000-00016.

Abstract

Study of all Vermont and urban Rhode Island trauma fatalities for 1987, and all fatalities in these states from nontraumatic intracranial hemorrhage for 1986 and 1987, identified few potential donors for asystole-sensitive organs, such as heart, lungs, liver, pancreas, and kidneys. It is estimated that nationally there is a maximum potential of about 5000 cadavers per year from these two sources that meet screening criteria for age, duration of survival after event, brain death, and absence of organ damage or important disease. This would yield up to 5000 hearts, livers, and pancreases, perhaps 5-6000 lungs, and up to 10,000 kidneys. However, for tissues that have longer postdeath viability it is estimated that annually at least 60,000 eyes, 22,000 heart valve sets, 29,000 donations of 2 or more long bones per cadaver, and 36,000 skin donations are potentially available from these sources.

摘要

对1987年佛蒙特州和罗德岛州城市地区所有创伤性死亡病例,以及1986年和1987年这两个州所有非创伤性颅内出血导致的死亡病例进行研究后发现,适合作为对心搏停止敏感器官(如心脏、肺、肝脏、胰腺和肾脏)供体的潜在捐献者很少。据估计,从全国范围来看,每年这两类符合年龄、事件发生后存活时长、脑死亡以及无器官损伤或重大疾病筛查标准的尸体最多约有5000具。这将产生多达5000颗心脏、肝脏和胰腺,可能有5000 - 6000个肺,以及多达10000个肾脏。然而,对于死后存活时间较长的组织,据估计每年从这些来源可能获得至少60000只眼睛、22000套心脏瓣膜、每个尸体29000次捐赠2根或更多长骨,以及36000次皮肤捐赠。

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