Psychological issues in unrelated living organ transplantation in children.
Psychological issues in unrelated living organ transplantation in children.
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儿童无关活体器官移植中的心理问题。
DOI：
10.1111/j.1399-3046.2004.00218.x
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发表时间：
2004
影响因子：
1.3
通讯作者：
Bunzel,Brigitta
中科院分区：
文献类型：
--
作者：
Dew,MaryAmanda;Switzer,GalenE;DiMartini,AndreaF;Bunzel,Brigitta
在这一期的《儿童心脏移植》中，Wray等人(1)报道了一项关于儿童多米诺骨牌心脏移植中的心理问题的定性研究。多米诺心脏移植涉及将正在接受心肺移植的患者的天然心脏捐赠给需要心脏移植的患者。心肺联合移植在世界范围内是一种越来越罕见的手术。它的下降似乎与一些因素有关，例如改变了对以前通过心肺移植治疗的疾病的一线治疗(3)。多米诺骨牌心脏移植结合心肺手术进行的情况更不寻常，似乎只在英国定期进行[4]。此外，心肺移植和多米诺骨牌手术在儿童中的应用比成人要少。例如，在2001年(有完整数据的最近一年)，全世界只有10例儿童进行了心肺移植手术(2)。这10项包括任何涉及多米诺骨牌程序的内容。在美国，从2001年到2003年，每年都有6例心肺移植手术[5]。既然这种手术很罕见，那么，为什么儿科和成人器官移植团体都应该注意到儿童供者和受者在接受多米诺骨牌心脏移植时的心理问题，正如Wray等人所强调的那样。报告？这有几个原因。首先，无关的活体器官和组织捐赠率正在上升。参与这些其他移植领域的临床医生、患者和家属，包括肾、肝、肝叶、肺叶和骨髓移植，也许能够从多米诺骨牌心脏移植中观察到的经验和心理结果中学习。这不仅与儿科移植有关，也与成人捐赠和移植有关。
In this issue of Pediatric Transplantation, Wray et al.(1) report on a qualitative study of psychological issues in pediatric domino heart transplantation. Domino heart transplantation involves the donation of the native heart from a patient who is receiving a heart–lung transplant to a patient who needs a heart transplant. Heart–lung transplantation is an increasingly rare procedure worldwide (2). Its decline appears to be related to factors such as changes in first-line treatments for conditions formerly treated by heart–lung transplant (3). Domino heart transplantation conducted in conjunction with the heart–lung procedure is even more unusual and appears to be performed regularly only in the UK (4). Moreover, both heart–lung transplantation and the domino procedure are less often performed in children than adults. For example, in 2001 (the most recent year with complete data), only 10 heart–lung transplants were performed in children worldwide (2). These 10 are inclusive of any involving a domino procedure. In the United States, six heart–lung transplants were performed in each of the years 2001 through 2003 (5).Given the rarity of the procedures, then, why should both the pediatric and adult organ transplantation communities take note of the psychological issues attending pediatric donors and recipients undergoing the domino heart transplantation, as highlighted in the Wray et al. report? There are several reasons. First, rates of unrelated living organ and tissue donation are growing. Clinicians, patients, and families involved in these other areas of transplantation, including kidney, liver, liver lobe, lung lobe, and bone marrow transplantation, may be able to learn from the experiences and the psychological outcomes observed in domino heart transplantation. This is relevant not only for pediatric transplantation but for adult donation and transplantation as well.