Experience of the selection and maintainence for donor lung:62 cases attached
10.3760/cma.j.issn.0529-5815.2016.12.005
- VernacularTitle:62例器官捐献供肺的评估及维护经验总结
- Author:
Guilin PENG
1
;
Xin XU
;
Danxia HUANG
;
Bing WEI
;
Dong XIAO
;
Wei WANG
;
Yidong WANG
;
Jianxing HE
Author Information
1. 510120,广州医科大学附属第一医院胸外科
- Keywords:
Lung transplantation;
Donor selection;
Organ donation
- From:
Chinese Journal of Surgery
2016;54(12):898-901
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the experience of selection and maintainence for the lungs from donation. Methods From January 2015 to June 2016, 62 cases had been evaluated by Department of Thoracic Surgery, First Affiliated Hospital of Guangzhou Medical University? All the clinic data had been collected to evaluate the donor lungs, including the basic information, physical examination, results of radiology and laboratory, the bronchoscope, etc? All the satisfactory donors had been harvested and transplanted to the receipient and then follow up? Results Forty cases of donor lung had been harvested from 62 cases? There were 31 male and 9 female cases with average age of 28?7 years? There were 34 cases form donation after brain death and 6 cases from donation after circulatory death? In addition, 8 cases which were considered to be the marginal donors became satisfied after the donor maintanence? The microbe in all 40 cases had been detected and the bacterial infection rate was 82?5% ( 33/40)? The microbe below could be detected in the bronchial stump or lung tissue, including Klebsiella Pneumonia, Baumanii, Staphylococcus Aureus, Enterococcus Faecium, etc? In the end, 22 bilateral lung transplantations, 17 single lung transplantations, 1 heart?lung transplantation had been implemented successfully and the survival rate in the perioperative period was 90?0%? Conclusions The utilization ratio of donation can be increased and the waste of medical resource in unacceptable donor can be reduced by the sufficient donor selection and maintanence? The participation of multi?department is needed in the process of donor selection and maintanence.
