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摘要: 当前,新型冠状病毒肺炎(新冠肺炎)疫情全球各地形势不一,疫情防控仍然不能松懈。在面对各自的社会环境和医疗资源配置的考验下,以及在行业赖以生存的体系运作惯性及固有生产力的支撑下,各国器官捐献和移植工作仍在努力前行。山西省人体器官获取与分配服务中心是在国家专家委员指导下,由原山西省卫生和计划生育委员会于2018年8月28日批准成立的全省唯一、独立运行的非营利性医疗机构。本文通过剖析疫情期间美国和西班牙的器官捐献与移植数据,结合山西省人体器官获取与分配服务中心器官捐献工作的开展情况,进一步探索符合我国国情、省情的公民器官捐献与移植工作体系的建设。Abstract:
Objective At present, the novel coronavirus pneumonia (COVID-19) pandemic is still raging in certain regions around the globe, and the prevention and control of the pandemic should be strengthened. Under the challenges of respective social environment and allocation of medical resources, and support from the inertia and inherent productivity of the system on which the industry depends, extensive attempts are being delivered to push forward the work of organ donation and transplantation in each country. Under the guidance of national experts and committee members, Shanxi Provincial Human Organ Procurement and Allocation Service Center was established on August 28, 2018 approved by the former Shanxi Provincial Health and Family Planning Commission. It is the only independent non-profit medical institution in Shanxi Province. In this article, the system construction of citizen's organ donation and transplantation fitting national and provincial conditions was further explored according to the data analysis of organ donation and transplantation in the United States and Spain during the COVID-19 pandemic combined with the implementation of organ donation work in Shanxi Provincial Human Organ Procurement and Allocation Service Center. -
表 1 美国和西班牙2019年至2020年器官捐献和移植情况[3-4]
Table 1. Organ donation and transplantation in United States and Spain from 2019 to 2020
国别 器官捐献 器官移植 死亡 活体 总数 死亡 活体 总数 美国 2019年(n) 11 870 7 389 19 259 32 322 7 397 39 719 2020年(n) 12 588 5 729 18 317 33 310 5 726 39 036 同比(%) 6.05 -22.47 -4.89 3.06 -22.59 -1.72 西班牙 2019年(n) 2 302 356 2 658 5 093 356 5 449 2020年(n) 1 777 268 2 045 4 157 268 4 425 同比(%) -22.81 -24.72 -23.06 -18.38 -24.72 -18.79 数据来源:OPTN和ONT; 数据分析:I Share for Life。 表 2 美国58家OPO年2019年和2020年捐献指标情况
Table 2. Donation indicators of 58 OPOs in the United Statesin 2019 and 2020
指标 全美 中位数 最大值 最小值 捐献同意率(%) 2020年 73.7 73.2 89.7 54.5 2019年 74.6 76.4 89.2 56.3 合格供者转化率(%) 2020年 70.9 70.8 89.7 53.9 2019年 71.8 73.2 86.8 56.3 每供者移植器官数(个) 总体 2020年 2.9 2.9 3.4 1.9 2019年 3.0 3.1 3.6 2.1 DCD供者 2020年 1.9 2.0 2.6 1.3 2019年 1.9 2.0 2.9 0.9 数据来源:OPTN; 数据分析:I Share for Life。 -
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