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2020-12-01
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器官移植领域参考资料:全面梳理、年度发布制度。
内容简介
本书由中国器官移植发展基金会组织编写。为器官移植领域提供参考依据,从而全面梳理我国器官移植领域的多方认知与社会意义相关证据,真正指导社会各界对于器官移植工作的正确全面的认识,并建立发展报告年度发布制度,成为我国器官移植专业领域的重要参考资料。报告拟从多个维度介绍中国器官移植事业改革发展的状况,器官移植“中国模式”的支撑体系,分析我国器官捐献意愿,并建立年度发布制度,为我国器官移植事业的改革推动、加强宣传及国际交流等提供支撑。
目录
- 版权信息
- 《中国器官移植发展报告(2019)》编委会
- Report on Organ Transplantation Development in China (2019) Editorial Committee
- 前言
- Preface
- 第一章 中国人体器官分配与共享
- 一、 器官捐献与移植医疗资源分布
- 1.全国器官获取组织分布
- 2.全国移植中心分布
- 二、 人体器官捐献情况
- 1.人体器官捐献情况
- 2.器官捐献者特征
- 三、 移植等待者情况
- 四、 器官利用情况
- 1.逝世后器官捐献者产出器官情况
- 2.绿色通道政策实施前后器官共享对比
- 五、 特点与展望
- 1.进一步提高捐献器官利用率
- 2.进一步发挥绿色通道作用,减少器官转运的浪费
- 3.推动器官捐献与移植事业由高速度增长向高质量发展
- 第二章 中国肝脏移植
- 一、 肝脏移植医疗机构分布
- 二、 肝脏移植受者人口特征
- 三、 肝脏移植质量安全分析
- 1.肝脏移植重要临床指标
- 2.肝脏移植前后受者总胆红素的变化情况
- 3.肝脏移植受者术后情况
- 四、 特点与展望
- 1.儿童肝脏移植发展迅速
- 2.亲属间活体肝脏移植占比较高
- 3.原发病是肝癌的肝脏移植比例较高
- 4.不断探索肝脏移植手术方式和技术
- 5.建立并落实肝脏移植医疗质量管理与控制有关规范和制度
- 6.科学监管肝脏移植数据,挖掘有价值的信息
- 第三章 中国肾脏移植
- 一、 肾脏移植医疗机构分布
- 二、 肾脏移植受者人口特征
- 三、 肾脏移植质量安全分析
- 1.DD肾脏移植供肾缺血时间
- 2.肾脏移植前后受者血清肌酐值的变化情况
- 3.肾脏移植术后不良事件概况
- 4.肾脏移植受者、移植物生存分析
- 四、 特点与展望
- 1.DD肾脏移植是当今主要的移植类型
- 2.持续开展肾脏移植质量控制与质量提升工程
- 3.关注肾脏移植研究热点并取得突破性进展
- 4.向国际器官移植界传递“中国之音”
- 第四章 中国心脏移植
- 一、 心脏移植医疗机构分布
- 二、 心脏移植受者人口特征
- 三、 心脏移植质量安全分析
- 1.心脏缺血时间
- 2.术后院内生存情况
- 3.生存分析
- 四、 特点与展望
- 第五章 中国肺脏移植
- 一、 肺脏移植医疗机构分布
- 二、 肺脏移植受者人口特征
- 三、 肺脏移植质量安全分析
- 1.手术方式
- 2.术中输血
- 3.术后早期(<30天)并发症
- 4.出院时状态
- 5.术后生存状况
- 四、 特点与展望
- 1.国内首届国际肺脏移植论坛成功举办,推动中国肺移植早日进入世界移植舞台的中央
- 2.继续提升儿童肺移植临床技术
- 3.贯彻落实肺移植术前评估制度,减少急诊肺移植
- 4.加大术后并发症监测和控制力度
- Chapter 1 Human Organ Allocation and Sharing in China
- 1.1 Distribution of medical institations for organ donation and transplantation
- 1.1.1 Distribution of OPO in China
- 1.1.2 Distribution of transplant centers in China
- 1.2 Organ donation
- 1.2.1 Organ donation in China
- 1.2.2 Characteristics of deceased donors
- 1.3 Patients waiting for organ transplantation
- 1.4 Utilization of organs
- 1.4.1 The yield of donated organs per donor
- 1.4.2 Comparison of organ sharing before and after the imple-mentation of the green channel policy
- 1.5 Summary and prospects
- 1.5.1 Improving the utilization of donated organs
- 1.5.2 Strengthening the role of green channel to reduce organ wastage during transportation
- 1.5.3 Driving the conversion of high-speed growth and development to high-quality development in organ donation
- Chapter 2 Liver Transplantation in China
- 2.1 Distribution of medical institutions for liver transplantation
- 2.2 Data of liver transplant recipients
- 2.3 Quality and safety analysis of liver transplantation
- 2.3.1 Important clinical markers for liver transplantation
- 2.3.2 Changes in total bilirubin before and after liver transplantation in recipients
- 2.3.3 Condition of recipients after liver transplantation
- 2.4 Summary and prospects
- 2.4.1 Liver transplantation develops rapidly in pediatric
- 2.4.2 Most pediatric liver transplantation cases were LDLTs
- 2.4.3 The proportion of liver transplantation for primary liver cancer was the highest among all liver transplantation cases
- 2.4.4 Continuous search for innovation in surgical liver transplantation procedures and techniques
- 2.4.5 The standards and systems for quality management and control of liver transplantation need to be established and implemented.
- 2.4.6 Data on liver transplantation needs to be scientifically monitored to find valuable information.
- Chapter 3 Kidney Transplantation in China
- 3.1 Distribution of medical institutions for kidney transplantation
- 3.2 Data of kidney transplant recipients
- 3.3 Quality and safety analysis of kidney transplantation
- 3.3.1 Ischemia time of donor kidney for DD kidney transplantation
- 3.3.2 Changes in serum creatinine values before and after kidney transplantation
- 3.2.3 Overview of adverse events after kidney transplantation
- 3.3.4 Survival analysis of kidney transplant recipient and graft
- 3.4 Summary and prospects
- 1. Deceased donor kidney transplantation is the main type of transplantation at present
- 3.4.2 Quality control and improvement project of kidney transplantation has been conducted
- 3.4.3 Attention has been paid to the hot issues in kidney transplantation and breakthroughs have beenmade
- 3.4.4 Letting the international transplantation community hear the“Voice of China”
- Chapter 4 Heart Transplantation in China
- 4.1 Distribution of medical institutions for heart transplantation
- 4.2 Demographic characteristics of heart transplantation recipients
- 4.3 Quality and safety analysis of heart transplantation
- 4.3.1 Ischemia time of heart donor
- 4.3.2 Postoperative intra-hospital survival
- 4.3.3 Survival analysis
- 4.4 Summary and prospects
- Chapter 5 Lung Transplantation in China
- 5.1 Distribution of medical institutions for lung transplantation
- 5.2 Demographic characteristics of lung transplantation recipients
- 5.3 Quality and safety analysis of lung transplantation
- 5.3.1 Surgery procedure
- 5.3.2 Intraoperative blood transfusion
- 5.3.3 Early postoperative complications (<30 days)
- 5.3.4 Discharge status
- 5.3.5 Postoperative survival
- 5.4 Summary and prospects
- 5.4.1 The first international lung transplantation forum in China was successfully held and promoted the early entry of lung transplantation in China to the international stage
- 5.4.2 Continuous improvement in pediatric lung transplantation techniques
- 5.4.3 Implementation of pre-lung transplantation assessment system and reducing emergency lung transplantation
- 5.3.4 Strengthening postoperative complication monitoring and control
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