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引用次数: 2

摘要

目前,美国有超过6.4万人在等待器官移植。移植协调员必须尽一切可能确保来自经同意的捐赠者的可存活器官得到移植。为了评估供体和器官功能,移植协调员依靠大量的诊断测试来确定供体器官的适用性。这些测试的结果有多可靠?下面的案例研究提出了一个事件,其中诊断测试结果不准确;因此,移植中心推迟了原本正常的、无创伤的器官移植。最终的结果是,这个器官被放置了,但只有在手术室实际可视化并给予移植中心完全豁免之后。
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Liver donation by a trauma patient: a case study in placement.

Currently, more than 64,000 people are awaiting transplants in the United States. Transplant coordinators must do everything possible to ensure that viable organs from consented donors are transplanted. To evaluate donors and organ function, transplant coordinators rely on a multitude of diagnostic tests to determine donor organ suitability. How reliable are the results of these tests? The following case study presents an incident in which diagnostic test results were not accurate; as a result, transplant centers deferred what turned out to be a normal, atraumatic organ. The end result was that this organ was placed, but only after actual visualization in the operating room and the granting of full waivers to the transplanting center.

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Financial incentives: alternatives to the altruistic model of organ donation. Xenotransplantation. Ethical challenges in infant heart transplantation: a clinical case presentation. No simple answers: ethical conflicts in pediatric heart transplantation. Ethics resources of US organ procurement organizations and transplant centers.
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