关键词: 脑死亡, 重症监护病房, 器官捐献, 维护

Abstract: 【Abstract】〓Objective〓To explore the management of potential organ donors after brain death in the Intensive Care Unit. Methods〓The clinical data of 29 cases of brain death organ donor from January 2012 to December 2013 in our Intensive Care Unit were analyzed retrospectively,including condition of pre-organ procurement,renal transplant recipients,liver transplant recipients and effect of renal transplantation on the recipients recived acute kidney injure(AKI) donors. Results〓Twenty-nine cases of brain death donor were managed for transplantation, including 40 kidneys,27 livers,4 hearts and 21 pairs of corneas. Renal delayed graft function occurred in 6 cases (15%) of renal transplant recipients. Acute rejection occurred in one case (2.5%) and internal iliac artery pseudoaneurysm also occurred in one case (2.5%) of renal transplant recipients, and the two cases subjected to nephrectomy. There was one case (2.5%) of renal transplant recipients death due to severe pneumonia. The recipients receive AKI kidney and non-AKI kidney had no significant difference on recovery of creatinine after operation and adverse event rates. There was one case (4%) of liver transplant recipients death due to multiple organ dysfunction syndrome. The rest of recipients were followed up and the grafts functioned well. Conclusion〓Better quality organs and transplant outcomes can be achieved by positive evaluation and management of the potential organ donor in the Intensive Care Unit.

Key words: Brain death, Intensive Care Unit, Organ donors, Management