2020版《脑死亡/符合神经病学标准的死亡判定》解读

Interpretation of "Determination of Brain Death/Death by Neurologic Criteria"(version 2020)

自1968年哈佛脑死亡标准公布以来,全世界范围内陆续发表多篇关于脑死亡/符合神经病学标准的死亡(BD/DNC)的指南和诊断流程,并且不断被修订、更新。2020年世界脑死亡项目发布《脑死亡/符合神经病学标准的死亡判定》,以统一各国临床实践并提高BD/DNC判定的严格性。本文分析并解读2020版《脑死亡/符合神经病学标准的死亡判定》,以明确BD/DNC概念、判定的最低临床标准、辅助检查、儿童/新生儿BD/DNC的判定,并与我国现行的脑死亡判定指南进行比较,以明确国内外脑死亡判定标准之间的差异,供国内相关专业医疗人员参考和借鉴。

Since the Harvard Brain Death Criteria was published in 1968, many guidelines and diagnostic procedures of Brain Death/Death by Neurologic Criteria(BD/DNC) have been published throughout the world, and these determination criteria have been constantly revised and updated. The World Brain Death Project published the "Determination of Brain Death/Death by Neurologic Criteria" in2020 to unify clinical practice across countries and improve the rigorousness of BD/DNC determination.This article analyzes and interprets these "Determination of Brain Death/Death by Neurologic Criteria"(version 2020) to clarify the concept of BD/DNC, the minimum clinical criteria for Determination of BD/DNC, ancillary testing, and the pediatric/neonatal BD/DNC, and to compare with the current practical guidance for determination of brain death in China, and analyze the differences between China and foreign countries, so as to provide reference for medical personnel in related professions in China.