公民逝世后器官捐献供肺评估标准和维护经验

Organ donation after cardiac death donor lungs assessment standards and maintenance experience

目的总结公民逝世后器官捐献（DCD）供者肺脏应用的评估标准和供肺功能维护的经验。方法2013年1月至2015年6月对139例DCD供者通过严格的评估和有效的肺功能维护，获取供肺11例。供肺冷缺血时间为（526．8±12．6）min（312-675min），完成9例序贯式双肺移植，2例单肺移植。结果围手术期1例肺移植受者死亡，死亡原因为肺部感染。存活10例受者术后未发生排斥反应，出院后随访至今均存活且生活质量良好。结论使用器官捐献的供肺肺移植效果良好，供肺的评估标准及功能维护是保证肺移植成功的重要因素。

Objective To summarize the assessment standards of organ donation after cardiac death （DCD） donor lungs application and donor lung function maintenance experience. Method From Jan. 2013 to June 2015, 139 cases of DCD donors were subjected to rigorous assessment and effective donor lung function maintenance, and 11 donor lungs for lung transplantation were obtained. The donor lung cold isehemia time was （526. 8 ± 12. 6） min （312 to 675 min）. Double lung transplantation was performed on 9 cases, and 2 cases received single lung transplantation. Result Perioperatively, 1 lung transplant recipient died of pulmonary infection. The survived 10 recipients had no rejection after operation, and obtained good quality of life during discharge to the final follow-up. Conclusion The effect of donor lung transplantation using organ donation is satisfactory. The assessment standards and functional maintenance of donor lung are important factors to guarantee the success of lung transplantation.