Objective:During establishing a big general hospital, to pay attention to the organization methods and implementation steps of medical equipment management can shorten the erection time and increase establishing efficiency.Methods: According to government investment for medical equipment and infrastructure project plan, to optimize medical equipment planning scheme; to carry on expert verification, declaration and purchasing by invitation to bid; and coordinate the equipment factories, infrastructure engineers and technicians to finish the installation site condition in order to make sure the equipment installation timely and acceptance check. Results: Based on the amount of government investment, to finish the 0.5 billion equipment plan, hundreds of medical equipment purchasement, arrival, installation and acceptance so as to ensure the hospital basic clinical requirement. To put forward solutions to difficult problems about medical equipment management can ensure every work smoothly.Conclusion: The construction of a new hospital is a system engineering included from planning design, capital construction, equipment inviting bid and installation, and decoration to application. There is affinity between each point and equipment in this system, and this system need higher professional ability and coordinated ability of equipment manager. At present, Shenzhen hospital of Southern Medical University is establishing, managers should communicate and coordinate the process and progress of various aspects; provide planning ideas and implement methods; improve quality; shorten project period and then obtain the whole advancement effect based on possible problem in different stage of equipment management.

Objective To explore the outcomes of the transplanted kidney as donor for clinical renal transplantation and summarize experience in combination with related literature.Method This study retrospectively analyzed the clinical documents of one case of uremia receiving renal allograft transplantation with the transplanted kidney as the donor in one case of renal transplantation after brain death in February,2015.The donor was a 31-year-old man who received renal transplantation for uremia in November,2014 and obtained normal renal function.Two months later,the patient was brain dead because of neurologic disorder and donated his transplanted kidney.The serum creatinine of the donor was 167 μmol/L,and the glomerular filtration rate was about 35 mL/min befor donation.The recipient was 27 years old who needed transplantation because of chronic renal function failure and uremia.Preoperation tests showed that PRA was negative,and serum creatinine was 1 353 μmol/L.After separating and dissecting the donor kidney carefully,we perfused and compensated the kidney by Lifeport Organ Perfusion and Preservation Conveyor.The warm ischemia time was about 15 min.The renal vein of the donor was anastomized with right external iliac vein of the receptor,artery with right external iliac artery,and ureter with right centrifugal ureter.Result The operating time was more than 3 h.Postoperatively,the recipient was given the immunosuppressive regimen as tacrolimus,mycophenolate mofetil and methylprednisolone to prevent rejection.At 1 st day postoperation,the 24-h urine volume of the receptor was 5 000 mL,serum creatinine was declined gradually to a minimum of 180μmol/L,and there was trace urine protein.The renal function of patient recovered well by now.Meanwhile,the patient was still under the follow-up.Conclusion It is practical that using transplanted kidney as donor kidney for re-transplantation.There were certain clinical significance for shortening the waiting time of renal transplantation in uremia patients and relieving the shortage of transplant kidney.