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Трансплантология

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ВЕДЕНИЕ ПОТЕНЦИАЛЬНОГО ДОНОРА СО СМЕРТЬЮ МОЗГА (ЧАСТЬ 1)

Аннотация

Основным фактором, ограничивающим трансплантацию, является недостаток донорских органов. В настоящее время большинство трансплантаций производится от доноров со смертью мозга (СМ). Со смертью в большинстве случаев связана выраженная физиологическая нестабильность, которая может привести или к ухудшению функции донорского органа до эксцизии, или к потере донора. При активном или даже агрессивном ведении донора возможны управление и коррекция патофизиологических процессов в донорских органах, тем самым увеличивается число и улучшается функциональное состояние донорских органов.

Агрессивная стратегия ведения потенциальных доноров со СМ требует изменения не только в подходах к интенсивной терапии, но и философии в оценке проводимой работы. Несмотря на разработку и внедрение различных протоколов ведения доноров со СМ, оптимального сочетания целей, мониторинга, специфической терапии до настоящего момента пока не достигнуто.

Об авторе

В. Л. Виноградов
ГБУЗ «НИИ скорой помощи им. Н.В. Склифосовского ДЗМ»
Россия


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Рецензия

Для цитирования:


Виноградов В.Л. ВЕДЕНИЕ ПОТЕНЦИАЛЬНОГО ДОНОРА СО СМЕРТЬЮ МОЗГА (ЧАСТЬ 1). Трансплантология. 2014;(3):23-31.

For citation:


Vinogradov V.L. Management of a potential donor with brain death (PART 1). Transplantologiya. The Russian Journal of Transplantation. 2014;(3):23-31.

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