以循环标准判定死亡的遗体器官捐献分类标准、实施流程及需要注意的问题

Classification,implementation process,and considerations for donation after circulatory determination of death

近十年来我国脑死亡器官捐献意识和能力均有了显著提升。在脑死亡器官捐献持续增量的同时,科学规范地推动以循环标准判定死亡的遗体器官捐献同样是未来发展的方向。本文结合多个国家的相关指南、国际上相关领域最新研究进展以及作者经验,对相关定义的变迁、分类标准的完善、实施流程以及实施过程需要注意的问题等进行了阐述,旨在为以循环标准判定死亡的遗体器官捐献与获取工作提供科学规范的实践指导,为进一步提高遗体器官捐献率和捐献器官利用率奠定相关基础。

In the past decade,there has been a significant improvement in awareness and capacity for donation after brain death in China.While efforts to increase donation after brain death continue,it is equally important to scientifically and systematically advance the practice of donation after circulatory determination of death.This paper integrates guidelines from various countries,the latest international research development,and the authors′experiences to elaborate on the evolution of relevant definitions,the refinement of classification criteria,the implementation process and its steps,as well as considerations during the implementation process.The aim is to provide scientific and standardized practical guidance for organ donation and retrieval after cardiac death,thereby establishing a foundation for further increasing organ donation rates and the utilization rate of donated organs.