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日本的捐赠者管理和极高的捐赠肺部利用率

Yasushi Hoshikawa¹, Yasushi Matsuda¹, Juntaro Ashikari²

¹Department of Thoracic Surgery, Fujita Health University, Toyoake, Japan.

Journal of thoracic disease

|March 20, 2024

概括

日本的医疗顾问 (MC) 系统通过加强捐赠者护理和肺部管理,改善了肺部捐赠. 这导致肺部利用率显著提高,移植结果更好.

科学领域:

移植手术移植手术
器官捐赠器官捐赠器官捐赠器官捐赠器官捐赠器官捐赠器官捐赠器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器
医疗系统医疗系统

背景情况:

日本面临严重的捐赠肺部短缺,影响了肺移植率.
2002年建立了一个独特的医疗顾问 (MC) 系统,以优化捐赠者管理并增加器官的可用性.

研究的目的:

评估医疗顾问 (MC) 系统对日本肺移植机会和结果的有效性.
评估MCs对肺部利用率和移植后移植存活率的影响.

主要方法:

在三个阶段 (MC前期,早期MC,已建立的肺MC) 进行了187名脑死亡肺捐赠候选人的回顾性审查.
分析肺部利用率 (每位捐赠者和每位肺) 和初级移植器功能障碍率.
实施MC要求的积极支气管吸管和专用肺MC之前和之后的结果的比较.

主要成果:

肺部利用率在各阶段显著增加:每位捐赠者61.4% (第一阶段),71.9% (第二阶段) 和74.7% (第三阶段).
每个肺的肺利用率也有所改善 (51.1%至67.7%,P=0.03).
由于原发性移植功能障碍导致的移植死亡率从13.3% (第一阶段) 降至3.6% (第二阶段) 和3.7% (第三阶段) 每个肺 (P=0.04).
最近的数据 (2020-2021) 显示,每位捐赠者肺部利用率为83%.

结论:

医疗顾问 (MC) 系统有效地提高了日本的肺部利用率.
通过改善供体肺的质量和管理,MC系统有助于在肺移植中取得良好的结果.
这个系统对于最大限度地利用稀缺的供体肺资源和改善患者存活率至关重要.

关键词:

捐赠人的肺部是捐赠人的肺部.评估评估的评估评估的评估.肺部利用率是指肺部使用率.管理的管理管理的管理.医疗顾问 (MC) 是一个医疗顾问.

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