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密西西比州的器官捐赠与获取:1996年最新情况

Organ donation and recovery in Mississippi: update 1996.

作者信息

Schlessinger S D

机构信息

Department of Medicine, University of Mississippi Medical Center, Jackson, USA.

出版信息

J Miss State Med Assoc. 1996 Aug;37(8):695-9.

PMID:8772064
Abstract

Over the last 10 years, solid organ transplantation has become increasingly successful and, in 1996, is the recognized standard of care for many end-stage organ diseases. Unfortunately, as this therapy has become more desirable, the demand for transplants has far outpaced the available supply of transplantable organs. Advances in organ preservation, surgical recovery techniques, centralized placement services and communication systems, as well as increased public awareness of the need have helped to increase organ availability. In addition, many transplant programs are now willing to make use of organs from "marginal" or "expanded" donors, particularly in urgent settings for liver and heart transplant recipients. The primary source of organs for Mississippi patients awaiting transplants is Mississippi donors. The Mississippi Organ Recovery Agency, an independent, non-profit agency, is the federally designated recovery organization for the state of Mississippi. This agency and the wait-listed recipients of the University of Mississippi Medical Center's Transplant Programs are critically dependent on appropriate recognition and referral of potential donors by the health professionals of Mississippi. Historically, Mississippi has one of the lowest organ donation rates in the United States. This will only change if physicians make every effort to offer their patients the option of organ and tissue donation, and if the organ and tissue recovery programs are successful in ongoing educational projects for health professionals and the general public.

摘要

在过去十年中,实体器官移植越来越成功,到1996年,它已成为许多终末期器官疾病公认的标准治疗方法。不幸的是,随着这种治疗方法越来越受欢迎,对移植器官的需求远远超过了可用于移植的器官供应。器官保存、手术恢复技术、集中安置服务和通信系统的进步,以及公众对器官需求意识的提高,都有助于增加器官的可获得性。此外,现在许多移植项目愿意利用来自“边缘”或“扩大标准”供体的器官,特别是在肝脏和心脏移植受者的紧急情况下。密西西比州等待移植的患者的主要器官来源是密西西比州的捐赠者。密西西比器官回收机构是一个独立的非营利机构,是联邦政府指定的密西西比州回收组织。该机构以及密西西比大学医学中心移植项目的等待名单上的受者严重依赖密西西比州卫生专业人员对潜在捐赠者的适当确认和转诊。从历史上看,密西西比州是美国器官捐赠率最低的州之一。只有当医生尽一切努力为患者提供器官和组织捐赠的选择,并且器官和组织回收项目在针对卫生专业人员和普通公众的持续教育项目中取得成功时,这种情况才会改变。

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