摘要
新型冠状病毒(新冠病毒)感染疫情传播、防控和新冠病毒从捐献者传播到受者的潜在风险及其不确定性等,给器官捐献和移植工作带来严重影响和巨大挑战。越来越多的证据表明使用来自新冠病毒感染的捐献者非肺脏器官(肾脏、肝脏和心脏)无论在获取时是否存在症状,传播的风险都很低。推迟新冠病毒抗原或核酸检测阳性者逝世后的器官捐献时间,待病毒检测阴性后再行捐献,将导致相当数量医学上适合移植的器官丢失。为最大限度满足终末期器官衰竭患者移植就医需求,中华医学会器官移植学分会组织相关专家,结合国内新冠病毒感染流行形势及器官捐献和移植工作的临床实践,参考国内外相关研究结果及临床研究证据制定了公民逝世后器官捐献《新型冠状病毒感染者器官捐献专家共识》,旨在为新冠病毒感染者捐献器官的获取和应用提供建议和参考。
The spread,prevention and control of novel coronavirus infection and the potential risks and uncertainties of novel coronavirus transmission from donor to recipient have brought serious impacts and great challenges to organ donation and transplantation.There is increasing evidence that the use of non-pulmonary organs(kidney,liver and heart)from novel coronavirus infected donors carries a low risk of transmission,regardless of whether they were symptomatic at the time of acquisition.Delaying organ donation after the death of those who are positive for novel coronavirus antigen or nucleic acid testing,and then waiting until turns negative,will result in the discarding of a significant number of organs that are medically suitable for transplantation.In order to maximally meet the demand for transplantation in patients with end-stage organ failure,Branch of Organ Transplantation of Chinese Medical Association organized relevant experts formulated the“Expert consensus on organ donation from patients infected with novel coronavirus in China”after citizen’s death by taking into account the epidemic situation of novel coronavirus infection in China and the clinical practice of organ donation and transplantation,and by referring to relevant research results and clinical research evidence at home and abroad.It aims to provide recommendations and references for the procurement and application of donor organs from patients infected with novel coronavirus.
作者
中华医学会器官移植学分会
中国医师协会器官移植医师分会
国家人体捐献器官获取质量控制中心
丁晨光
栗泽鹏
李潇
薛武军
Branch of Organ Transplantation of Chinese Medical Association;Branch of Organ Transplant Physician of Chinese Medical Doctor Association;National Quality Control Center for Human Donated Organ Procurement;Xue Wujun(不详;The First Affiliated Hospital of Xi’an Jiaotong University,Xi’an 710061,China)
出处
《器官移植》
CAS
CSCD
北大核心
2023年第1期1-10,共10页
Organ Transplantation
基金
国家医学中心辅导类——陕西省科技厅两链融合项目2021LL-JB-06(3.4,3.5)
国家自然科学基金项目(82070768)
国家重大疾病多学科合作诊疗能力建设项目(陕卫办医函[2019]485号)
中国器官移植发展基金会“菁英计划”(2019JYJH04)。
关键词
新型冠状病毒
器官捐献
器官移植
感染防控
公民逝世后器官捐献
器官分配
抗原检测
核酸检测
Novel coronavirus
Organ donation
Organ transplantation
Infection prevention and control
Organ donation after citizen’s death
Organ allocation
Antigen detection
Nucleic acid test
