Clinical analysis of 175 successful cases of donation after citizens' death in single center

Objective To analyze the clinical characteristics of 175 successful cases of donation after citizens' death inour center and summarize the clinical experience. Methods From 2007 to 2014, the constituent of age, cause of death and machine perfusion or the management principles were analyzed and determined in the 175 successful cases of after citizens' death. Results The constituent ratio of clinical indexes was as follows: male 129/175 (73.7%), age <50 years 91.4% (160/175). The top 3 causes of death were craniocerebral injury, cerebralvascular accident and cerebral tumor, and the total constituent was 87.4% (153/175). In any one group of cause of death, the total constituents of patients (age <50 years) were more than 80%. In the group of occupation, the top 3 constituent ratio was physical activity, 51.4% (90/175), unemployed people, 23.4% (41/175) and student 20.6% (36/175). In the education level, the constituent ratio of primer and secondary school was 54.9% (96/175) and 30.3% (53/175) respectively. In 48 cases of children donors, top 1 etiology was caniocerebral injury, 25 cases, 52.1% (25/48). In the death model of donation, high constituent ratio of DBD was 95.4% (167/175). In the machine perfusion, 42 cases were given ECMO, 24% (42/175), LifePort, 56 cases, 32% (56/175). The output ratio of liver and kidney was 100%, and its utilization ratio was 64.6% (113/175) and 95.4% (334/350) respectively. Conclusion The organ protection system of DBD is established. It can provide the research basis for improving the sources, quality and utilization of donor organs.