The human organ transplant of Yunnan is urgent to lack the local regulation 5 hospitals have qualification

The human organ transplant of Yunnan is urgent to lack the local regulation 5 hospitals have qualification
President Li Li of a institute of market speaks very directly: After dying alone " Donate the heart and donate the lung and is loyal and faithful to " ,He (she) Can save 5 lives with a heart, a piece of liver, 2 pieces of kidney, a lung, " this is actually to he (she) Another continuity of the life. " However, are " extremely wanted the complete body " , " burial brings peace to the deceased " Wait for the influence of the traditional idea, add the shortage of the regulation of organ donation, has hindered the end of the public organ donation will from implementing on the great intensity. At the end in the spring, 41 -year-old Fang Yong (assumed name) Lie in the transplantation inpatient area of the People's Hospital of Kunming city first, anxious. Square brave liver function is depleted, the doctor says, if does not carry on liver transplantation as soon as possible, he can only live one month more at most. The problem is, where is the liver which he needs? On May 1 of this year, our country " human organ transplant regulations " implements for 4 years formally. However, there is an awkward predicament - -Has not donated, does He come to transplant? A few days ago, Ministry of Public Health said " our country was expected to realize that registered the organ donation will while applying to get the driving license within the year " ,Though is late, at least, in front of the predicament, bright. Our province has no organ donation to receive organization's reporter to know from a institute of market temporarily, our province has no special organ donation to receive the organization temporarily, this has caused citizens to " have no door to donate " to a certain extent . According to ultra director Li, once citizens sent a telegram to to the hospital to consult the organ donation matters, but the hospital is not qualified to receive. What if citizens want to donate? Deputy to the National People's Congress, secretary of the leading Party members' group of Red Cross Society of China, managing Deputy Chairman Wang Wei express when being interviewed by media before this, the draft revision of " human organ transplant regulations " has already been referred to the legal system office of the State Council, responsible for Red Cross Society of China and propagate, mobilize organ donation and organ to assign the work to carry on in the draft revision clearly. "Be responsible for the organ to donate and receive a matter by the Red Cross soon. " City one institute Li set up the president and claim, national Ministry of Finance has already obligated funds to the Red Cross at present, used in relevant establishment and funds. Only 5 hospitals transplant qualification in the current situation Yunnan According to the stipulations of " human organ transplant regulations ", only there is qualification with organ transplant of 5 medical organizations in our province at present: The first affiliated hospital of Kunming medical college, transplants the project: Liver / kidney; The People's Hospital of Yunnan Province first, transplants the project: Lung / liver; The second affiliated hospital of Kunming medical college, transplants the project: Heart; Kunming city first the People's Hospital, transplants the project: Liver; Kunming market Yanan hospital, transplants the project: Heart. Refer to the organ transplant undertaking in Yunnan, Kunming city first the People's Hospital (call a institute of market in the following text) President Li Li and the People's Hospital of Yunnan Province first (call a institute in the province in the following text) Not a two organ transplant experts of mine of hepatobiliary head of the department summarize and say: "Originally walk in the domestic forefront, but lagged behind slowly. " As far back as the 1990s of last century, the second affiliated hospital of Kunming medical college sent out the declaration of marching to organ transplant, and succeeded in implementing the first the same kind of allogenic normal position liver transfer operation of Yunnan Province on October 22, 1999. "Also there are not several hospitals that have had successful cases at home at that time. " President Li Li who participates in the operation is proud of. Later, such transfer operations as some liver of the same kind of allogenic normal position hearts, parents, kidney of liver were united can be launched in succession. However, because of supporting the restriction of factor such as being deficient of the body, the organ transplant of Yunnan lags behind some developed provinces on later stage. Because has not made the local regulations of organ transplant and organ donation even after stalling for a long time, our province fails to enter 10 pilot cities where Ministry of Public Health and Red Cross Society of China launch human organ donation last year. The predicament supports body shortage, supply and demand is serious and out-of-balance Ministry of Public Health statistics show, nearly 1,500,000 patients need organ transplant in our country, and organ transfer operation that can be carried on every year is only about 10,000 pieces, the demand quantity of organ and proportion of the organ quantity of supply are 150: 1,And the proportion of U.S.A. is 5 in the same period: 1,Britain is 3: 1. "Always a patient dies in waiting. " City one head of the department of institute ICU Chao Li reveal and side brave in need of liver transfer operation patient very many equally. Set up president's introduction according to Li, our country has the hugest transplantation of the whole world to wait for the crowd. However, because of supporting body shortage, a large number of patients die during waiting. In a institute of market, it is urgent because support body shortage and time, nearly there is death of pregnant woman of hepatopathy such as several trouble and fatty liver every year. Though there are patients in later period of hepatopathy every year, take by mistake several kinds of group such as patient, hepatopathy pregnant woman, inborn hepatopathy patient of the medicine are suitable for liver transplantation, but a institute of market implements the transfer operation of 160 cases of liver together up until now, a institute and 28 in the province. Except organ transplant, the organization transplants and faces the same awkwardness. Located elder brother's medicine to enclose the only centre eye banks of the whole province of two courtyard ophthalmology departments since 1991, been facing for a long time over the past 20 years " There are not eyes in storehouses " Predicament. Deputy Director Zhou Wei of the eye bank sighs with regret: "Without cornea, we the doctors all want the unemployment. " The spy hinders legislating to lack because of the traditional idea The source of transplanting organ mainly has brain death that supports the body, has living subject of relative's relation for body and heartbeat to stop 3 kinds of corpses of the death. The organ of organ donation of the brain death is high quality, it is the ideal source transplanted; The organ donation that secondly the heartbeat stopped the death, but the organ has damage at various degrees; The third intravital organ donation that just have relative's relation. What on earth has caused 1: 150 organ transplant supply and demand predicaments? The expert says, it is the backwardness of the idea and disappearance of the legislation. Set up the intersection of president and introduction according to Li, because " whether heartbeat it stops to be the death " The idea is deep-rooted, in addition our country does not have " brain death " in a legal meaning yet Judge the procedure, so, the public, to " brain death " High without being accepted by intensity,from 2007 to the present, let's add up to only carry on organ donation of 104 brain death patient our country. Secondly, because lack essential guarantee and incentive mechanism to intravital organ donation, the living subject donates suffering much puzzlement and restriction too. "Thus, can only expect the heartbeat to stop the organ donation of the death. " Director Li Chao adds, " there is not heartbeat that support the body " Most possibly relieve the effective way of transplanting the organ predicament at present. Since 2010, it will not have death organ donation of heartbeat (are abbreviate as " DCD " that a institute of market will take the lead in beginning one at home )The opinion poll of the will, in order to understand citizen's cognition and attitude of organ donation and transplanting,etc.. Over one year, the hospital has shown the result of questionnaire investigation to more than 1600 citizens: Nearly citizens of half only approve " The heartbeat is breathed and stopped " It is a death standard; The person with the higher education is more willing to donate the organ; More than 50% of the citizens express willingness Donate the organ, but mostly show that unwilling to let relatives and friends know. Meanwhile, the hospital has implemented " DCD procedure " since last year ,Advise, accord with the intersection of DCD and the intersection of patient and relative of standard by doctor, department of ICU, agree, donate, only a people finally. Last September, a middle aged man more than 30 years old sent to the hospital because of alcoholism, because oxygen deficiency time is too long all rescue measures proved ineffectual. Advised by the doctor and relatives agree, donated 2 corneas and a piece of liver finally, have brought other 3 patients back to life. Because worry other kiths and kins criticize, relative are kept confidential. The outlet issues the local regulation to strengthen and propagate Recently, Ministry of Public Health says " our country is expected to realize that register the organ donation will while applying to get the driving license within the year " when being interviewed by media ,It means, China takes " take " at least in organ donation First step in line with international standards. A courtyard of hepatobiliary heads of the department and not one in the province, I am sure " Get the driving license and donate the organ " Afraid again at the time of a progress this measure will receive the resistance of the traditional moral concept. When the side lay on the sick bed waiting bravely, 31 -year-old Chuxiong people clever to can leave the bed activity already behind accepting the intersection of liver and transfer operation in piece. On April 28, it is told that father of this child 3 years old sheds tears: "Find hepatocarcinoma in later period in March, accept liver transplantation one month later, I want to encourage relatives and friends to donate the organ after agreeing to death, this can rescue more people! " "Future is bright, the road is winding. " Describe the way of organ transplant with this sentence, can't be more appropriate. In president Li Li's view, the ones that connect doing are numerous: First, legislate to ensure, our country needs to issue a " remain and organ donation regulations " related to " human organ transplant regulations " as soon as possible. Last year, as the deputy to the National People's Congress of the province, president Li Li and other 25 representatives also proposed, Yunnan Province should be made one " the remain is donated management ", standardize the remain and donate the activity; Second, should be set up and donate the compensation standard by the third parties of hospital, patient; Third, the propaganda organ should strengthen propaganda and encouragement of organ donation, try to change the public's traditional idea as soon as possible. Don't my director thinks, makes outside the laws and regulations, should network the mix of realizing the organ in the whole country. In addition, try to break through technology such as the clone organ, different kind of transplantation, in order to deal with this world difficult problem of organ shortage. "The more important thing is the question that the death educates. " Study DCD once Chao Li for one year claim, reach Spain, have 36 donor's proportions in the every a million resident by director in stay by U.S.A., or register the organ donation will while applying to get the driving license and ID card as U.S.A., the most basic one will be strengthened to people " The death is educated " ,"The happiness of the life, lie in extending and unselfish. " -Net friend's voice The net friend discusses " Get the driving license and donate the organ " " light smoke outline " : It is used that the ones that should guarantee organ donated are rational and legal, and the donor family members are corresponding and favourable, etc. " Xiao Sun " : The person that will have can rescue obviously, but because sign this, doctors do not rescue, fetch the organ directly? " brick " : Still can make contribution when dying. Even if not pay the bill, I am willing. -The foreign organ donation of the stones from other hills is 3 types Most western countries make a series of legal system, include how to confirm the brain death, buy and sell the organ to agree to donate the organ and how to avoid. 1,Infer that agrees: Unless patients do not donate the organ after applying for death specially, the general patient becomes naturally and supports the body after diagnosing the brain death. However, in the country that infers the law in the great majority and agrees to, the doctor still needs to obtain the consent of relative. 2,Appointed to agree: This donates the organ system voluntarily. Except that oneself is written before death or expresses willinging orally to donate the organ after death, countries such as Britain, Australia, Spain,etc. also specially print the certificate of authorization of organ donation after the driving license. 3,Ask to donate: In U.S.A., the doctor responsible for organ donation has request that responsibility expressed organ donation to relatives. -Figure speak patient of Chinese organ transplant survival rate already reach the level of developed country, if patient's survival rate is 80.6% and 70% respectively in year and 5 for liver transplantation 1. However, at present - -China nearly has 1,500,000 patients in need of organ transplant, but only about 10,000 people can do the operation every year. China have 300,000 the intersection of hepatopathy and patient wait, transplant nearly, but annual the whole country can only launch 2000 left and right liver transfer operations. Nearly 1 million becomes the nephropathy patient that blood dialysed in China, but can only launch the transfer operation of three or four thousand cases of kidney every year. China nearly has 3 million cornea nature blind person and cornea deformity person, but only 3/10000 of the people accept the cornea transfer operation every year. (small beautiful Cheng YiHui Liu)

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