国际标准化脑死亡供肺获取经验介绍(附1例体会)

Experience of Harvesting the Lung of a Brain-Death Donor by International Standardized Methods

目的总结国际标准化脑死亡供体肺的获取经验,以形成一套适用于我国临床肺移植的脑死亡供体获取标准和规范。方法对1例机械通气50小时的志愿捐献者经脑死亡评估和供体器官功能评估后,行国际标准化供肺获取术。结果本例供体成功完成了心、肺、肝、肾、角膜的获取。所获取供肺被成功植入受体,且术后呼吸功能恢复良好。结论脑死亡供体肺获取的成功,可为今后我国脑死亡供体按国际标准化多脏器获取积累经验,使脑死亡供体的利用得到推广、普及。

Objective To summarize the clinical experience of harvesting the lung of a brain death donor by international standardized methods,so as to establish a set of standards and regulations applicable for harvesting the lung of brain-death donors in China. Methods The operation was performed on 1 brain-death donor who had endured 50 hours of mechanical ventilation. The donor was assessed by donor lung function test and international brain death standard. Then the organ was perfused and trimmed ready for lung transplantation. Results We succeeded in harvesting the heart, lung, 1 iver, kidney and cornea from this brain-death voluntary donor. The harvested lung was successfully transplanted into a recipient. And the recipient recovered well after operation. Conclusion The successful experience of harvesting the lung of the brain-death voluntary donor will contribute to the development and promotion of the utilization of brain-death donor supplies.