新型冠状病毒感染者器官捐献专家共识

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

doi:10.3969/j.issn.1674-7445.2023.01.001

新型冠状病毒感染者器官捐献专家共识

doi: 10.3969/j.issn.1674-7445.2023.01.001

710061 西安，西安交通大学第一附属医院（丁晨光、栗泽鹏、李潇、薛武军）

基金项目:

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

详细信息

中图分类号: R617, R373.1
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出版历程
- 收稿日期: 2023-01-07
- 网络出版日期: 2023-01-17
- 刊出日期: 2023-01-15

Expert consensus on organ donation from patients infected with novel coronavirus in China

The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, China

摘要

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。
- 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
Abstract: 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.
- Novel coronavirus /
- Organ donation /
- Organ transplantation /
- Infection prevention and control /
- Organ donation after citizen's death /
- Organ allocation /
- Antigen detection /
- Nucleic acid test
注释:

1) 通信作者：薛武军，Email：xwujun126@xjtu.edu.cn

HTML全文

下载: 全尺寸图片幻灯片

图 1 新冠病毒感染者非肺脏器官捐献流程图

Figure 1. Flow chart of non-pulmonary organ donation of donors infected with novel coronavirus

下载: 全尺寸图片幻灯片

图 2 新冠病毒感染捐献者肺脏捐献流程图

Figure 2. Flow chart of pulmonary donation of donors infected with novel coronavirus

下载: 全尺寸图片幻灯片

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