日本心脏病死亡后的器官捐献

Q4 Medicine
Takashi Kobayashi , Kazuhide Saito , Yoshiaki Kinoshita
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引用次数: 1

摘要

在日本,自2010年7月修订《器官移植法》以来,脑死亡后捐赠(DBD)有所增加,而主要用于肾脏移植的心脏死亡后捐赠(DCD)有所减少。DCD捐助者从2009年的98个减少到2019年的28个。DCD供体减少的原因尚不明确。此外,自2020年以来,受COVID-19大流行的影响,DCD显着下降。另一方面,DCD供者肾移植后的预后逐年改善。日本DCD供者肾移植的结果与西方国家DBD供者肾移植的结果相当。为了进一步改善DCD供体的移植效果,日本有望在临床上引入连续机器灌注保存技术,以减少缺血再灌注损伤。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Organ donation after cardiac death in Japan

In Japan, since the revision of the Organ Transplant Law in July 2010, donation after brain death (DBD) has increased, while donation after cardiac death (DCD), which has been mainly used by kidney transplantation, has decreased. The number of DCD donors decreased from 98 in 2009 to 28 in 2019. There is no clear reason for the decrease in DCD donors. Furthermore, since 2020, there has been a marked decrease in DCD due to the influence of the COVID-19 pandemic. On the other hand, the outcomes after kidney transplantation from DCD donors are improving year by year. The outcomes of kidney transplantation from DCD donors in Japan are comparable to those of kidney transplantation from DBD donors in Western countries. In order to further improve transplantation outcomes from DCD donors, the clinical introduction of continuous machine perfusion preservation technology, for the purpose of reducing ischemic reperfusion injury, is expected in Japan.

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来源期刊
Transplantation Reports
Transplantation Reports Medicine-Transplantation
CiteScore
0.60
自引率
0.00%
发文量
24
审稿时长
101 days
期刊介绍: To provide to national and regional audiences experiences unique to them or confirming of broader concepts originating in large controlled trials. All aspects of organ, tissue and cell transplantation clinically and experimentally. Transplantation Reports will provide in-depth representation of emerging preclinical, impactful and clinical experiences. -Original basic or clinical science articles that represent initial limited experiences as preliminary reports. -Clinical trials of therapies previously well documented in large trials but now tested in limited, special, ethnic or clinically unique patient populations. -Case studies that confirm prior reports but have occurred in patients displaying unique clinical characteristics such as ethnicities or rarely associated co-morbidities. Transplantation Reports offers these benefits: -Fast and fair peer review -Rapid, article-based publication -Unrivalled visibility and exposure for your research -Immediate, free and permanent access to your paper on Science Direct -Immediately citable using the article DOI
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