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目的心脏死亡器官捐献(Donation after Cardiac Death,DCD)是指公民在心脏死亡后进行的器官捐献,以往也称无心跳捐献(Non Heart-Beating Donation,NHBD)。总结DCD实施供体采集的手术配合体会。方法回顾天津市第一中心医院选取的50例供体器官获取的DCD手术的临床资料,总结供体采集手术过程,主要以分离、切取、灌注、修整等步骤进行。通过与医生密切配合完成供体的采集和灌注工作。结果供体采集完好,正常供给受体移植。结论供体的选择和采集方法与手术室护士熟练、高质量的手术配合均可有效缩短供体器官的冷、热缺血时间,对DCD器官移植手术成功起到关键作用,而良好的手术配合以及管理有助于提高后期器官移植手术的成功率。
Purpose After heart death Donation (DCD) refers to the donation of an organ after the death of the heart. It was also called Non Heart-Beating Donation (NHBD) in the past. Summarize the DCD implementation of the donor collection of surgery with experience. Methods The clinical data of 50 DCD surgeries obtained from the first Central Hospital of Tianjin were retrospectively reviewed. The procedure of donor acquisition was summarized, and the steps of separation, excision, perfusion and dressing were summarized. Through the close cooperation with the doctor to complete donor collection and perfusion. Results The donor collection intact, normal donor recipients. Conclusion The donor selection and acquisition methods and the nurses in the operating room are both skilled and qualified to operate with high quality, which can effectively shorten the time of cold and warm ischemia in donor organs and play a key role in the success of DCD organ transplantation. Good surgical coordination As well as management can help improve the success rate of late organ transplantation.