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体外膜肺氧合应用在捐献器官移植中的伦理学意义

蓝倩 李壮江 孙煦勇 秦科 董建辉 周洁惠 胡国庆

中国医学伦理学Issue(5):741-744,4.
中国医学伦理学Issue(5):741-744,4.

体外膜肺氧合应用在捐献器官移植中的伦理学意义

Ethical Significance of Extracorporeal Circulation Membrane Oxygenation Application in Donation Organ Transplantation

蓝倩 1李壮江 1孙煦勇 1秦科 1董建辉 1周洁惠 1胡国庆1

作者信息

  • 1. 中国人民解放军第303医院器官移植医学研究院/广州军区肝、肾移植中心/广西移植医学重点实验室,广西南宁 530021
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摘要

Abstract

Objective:To investigate the ethical significance of the extracorporeal circulation membrane oxy-genation ( ECMO) in the donation organ transplantation .Methods: Analyzing the data of ECMO protected to the organ in 13 donors after brain death , Accounting the rising costs which caused by ECMO and make the interview to the patients and family members .Results:In the period of ECMO flow , the hemodynamic of the DBD donors be-come stable gradually , the medications reduced significantly or stop , the function of organs was restored .There were 38 organs can be used for the transplantation which were proven by the pathological biopsy .Twenty six kid-neys were transplanted to 26 recipients and liver transplantation was performed in 12 recipients.All transplantations were successfully completed .Medical cost of this patients increase 5.3%, all of the family members and patients can accept the intervention of ECMO .Conclusion:ECMO is an effective method to protect and improve the utili-zation rate of the organ .the improvement of the related technical standards , legal, laws and ethics of staff will pro-mote to the development of organ transplantation .

关键词

体外膜肺氧合/器官移植/器官捐献/医学伦理学

Key words

Extracorporeal Circulation Membrane Oxygenation/Organ Transplantation/Organ Donation/Medical Ethics

分类

医药卫生

引用本文复制引用

蓝倩,李壮江,孙煦勇,秦科,董建辉,周洁惠,胡国庆..体外膜肺氧合应用在捐献器官移植中的伦理学意义[J].中国医学伦理学,2015,(5):741-744,4.

基金项目

广西壮族自治区主席资金项目(10169-05);桂科攻0993003A-177 ()

中国医学伦理学

OACSTPCD

1001-8565

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