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在皮肤全移植中实现自给自足:新加坡的经验
Si Jack Chong1, Zhen Luan Low1, Jialin Yick1
1Department of Plastic, Reconstructive and Aesthetic Surgery, Singapore General Hospital, Outram Road, Singapore 169608, Singapore.
Burns : journal of the International Society for Burn Injuries
|February 24, 2024
概括
新加坡在2012年通过实施5个关键策略,实现了皮肤全移植自给自足. 这导致了捐赠者转介,全移植回收和冷保存的增加,自2017年以来消除了海外采购.
科学领域:
- 再生医学是一种再生医学.
- 移植免疫学 移植免疫学
- 公共卫生政策 公共卫生政策
背景情况:
- 新加坡总医院 (SGH) 在1998年启动了一项全移植恢复计划.
- 尽管有这项计划,新加坡仍然依赖国际来源进行皮肤整体移植.
研究的目的:
- 描述新加坡实施的战略,以实现皮肤移植的自给自足.
- 详细说明这些策略对全植入物恢复和可用性的影响.
主要方法:
- 扩大全移植恢复计划到全国所有20个机构.
- 实施冷保存技术,以延长所有移植的保质期.
- 加强捐赠者转诊和恢复过程.
主要成果:
- 捐赠者推增加了42.9%,捐赠者数量增加了210% (从每年4.5个增加到14个).
- 每年回收的整体移植数量增加了223% (从13,000增加到42,000).
- 低温保存使储存容量翻了一番,达到14万平方厘米以上,保质期延长到5.5年.
结论:
- 到2017年,新加坡在皮肤全移植方面实现了完全的自给自足.
- 实施的战略成功地消除了对海外全植入物采购的需求.
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