多器官衰竭是重症患者最常见的死亡原因之一,体外器官支持可用于支持器官衰竭。肾脏替代,体外膜氧合,体外二氧化碳(CO_(2))清除和人工肝支持都被用于特定的器官支持系统,由于器官之间的器官交互作用,多器官支持疗法(multiple organ supp...多器官衰竭是重症患者最常见的死亡原因之一,体外器官支持可用于支持器官衰竭。肾脏替代,体外膜氧合,体外二氧化碳(CO_(2))清除和人工肝支持都被用于特定的器官支持系统,由于器官之间的器官交互作用,多器官支持疗法(multiple organ support therapy,MOST)可为不同的衰竭器官提供联合支持,将肾脏替代,白蛋白透析,体外CO_(2)清除和细胞因子清除等技术的模块化组合是第一步,集成式多器官支持平台是未来发展方向。展开更多
Background:Living donor kidney transplantations have been performed at Sahlgrenska University Hospital in Gothenburg, Sweden since 1965. In this study we wanted to explore the living kidney donor’s long-term experien...Background:Living donor kidney transplantations have been performed at Sahlgrenska University Hospital in Gothenburg, Sweden since 1965. In this study we wanted to explore the living kidney donor’s long-term experiences of the donation. Methods: Of 1110 consecutive living donors throughout 1965-2005, 823 were available for our questionnaire study. Results:Totally 692 replied to the questionnaire, 65% were females. The most common relation to the recipients was siblings (284), parents (262) and spouses (96). Time since donation was median 15 years (2 - 43). The initiative to donate came from the donors themselves in 69%. The dominating motives for donation were a wish to help, worries about the recipient not receiving a transplant and the knowledge that one could live a normal life with one kidney. The majority of the donors, felt well informed about potential risks both short-term and long-term. Depression post donation was reported by few donors, 2.3% and persisting pain by 4.3%. Comparisons between sibling donors and spouse donors show a significant difference (p Conclusions:Our study shows that the donor population is in good psychosocial health. It is a positive progress that spouses can be living kidney donors - they seem to be the winners.展开更多
文摘多器官衰竭是重症患者最常见的死亡原因之一,体外器官支持可用于支持器官衰竭。肾脏替代,体外膜氧合,体外二氧化碳(CO_(2))清除和人工肝支持都被用于特定的器官支持系统,由于器官之间的器官交互作用,多器官支持疗法(multiple organ support therapy,MOST)可为不同的衰竭器官提供联合支持,将肾脏替代,白蛋白透析,体外CO_(2)清除和细胞因子清除等技术的模块化组合是第一步,集成式多器官支持平台是未来发展方向。
文摘Background:Living donor kidney transplantations have been performed at Sahlgrenska University Hospital in Gothenburg, Sweden since 1965. In this study we wanted to explore the living kidney donor’s long-term experiences of the donation. Methods: Of 1110 consecutive living donors throughout 1965-2005, 823 were available for our questionnaire study. Results:Totally 692 replied to the questionnaire, 65% were females. The most common relation to the recipients was siblings (284), parents (262) and spouses (96). Time since donation was median 15 years (2 - 43). The initiative to donate came from the donors themselves in 69%. The dominating motives for donation were a wish to help, worries about the recipient not receiving a transplant and the knowledge that one could live a normal life with one kidney. The majority of the donors, felt well informed about potential risks both short-term and long-term. Depression post donation was reported by few donors, 2.3% and persisting pain by 4.3%. Comparisons between sibling donors and spouse donors show a significant difference (p Conclusions:Our study shows that the donor population is in good psychosocial health. It is a positive progress that spouses can be living kidney donors - they seem to be the winners.
