Friedlaender M M, Rosenmann E, Rubinger D, Silver J, Moskovici A, Drantizki-Elhalel M, Popovtzer M M, Berlatzky Y, Eid A
Nephrology and Hypertension Services, Hadassah University Hospital, Jerusalem, Isreal.
Transplantation. 1996 May 27;61(10):1549-52. doi: 10.1097/00007890-199605270-00024.
Two patients with acute methanol intoxication are reported, one with acute renal failure. Both were declared brain-dead and kidneys were harvested at 80 and 130 hr after hospital admission. All four kidneys were transplanted and subsequently functioned well. In both donors who had received ethanol treatment, thrombocytopenia was present. The reluctance to use kidneys from such donors and from donors with acute renal failure before harvesting is discussed. Waiting lists for renal transplantation are growing and there is a world-wide shortage of cadaver organs. We were recently surprised to find reluctance to consider two local patients dying from methanol intoxication as suitable organ donors, and we report the outcome of four kidneys transplanted from these donors. We were unable to find any similar cases reported in the English literature.
本文报告了两名急性甲醇中毒患者，其中一名伴有急性肾衰竭。两名患者均被宣布脑死亡，分别于入院后80小时和130小时摘取肾脏。四颗肾脏均成功移植，且移植后功能良好。两名接受乙醇治疗的供者均出现血小板减少症。文中讨论了在摘取器官前不愿使用此类供者以及患有急性肾衰竭供者的肾脏的原因。肾移植等待名单不断增加，全球尸检器官短缺。最近，我们惊讶地发现，当地有两名死于甲醇中毒的患者未被视为合适的器官供者，因此我们报告了从这些供者获取的四颗肾脏的移植结果。我们在英文文献中未能找到任何类似病例的报道。
