{"id":4521,"date":"2025-09-28T22:39:29","date_gmt":"2025-09-28T14:39:29","guid":{"rendered":"https:\/\/transnovo.com\/?p=4521"},"modified":"2025-09-28T22:44:34","modified_gmt":"2025-09-28T14:44:34","slug":"%e5%a5%bd%e6%96%87%e5%85%b1%e8%b5%8f%ef%bc%9a%e4%bb%a5%e5%be%aa%e7%8e%af%e6%a0%87%e5%87%86%e5%88%a4%e5%ae%9a%e6%ad%bb%e4%ba%a1%e7%9a%84%e9%81%97%e4%bd%93%e5%99%a8%e5%ae%98%e6%8d%90%e7%8c%ae%e5%85%a8-2","status":"publish","type":"post","link":"https:\/\/transnovo.com\/en\/news\/%e5%a5%bd%e6%96%87%e5%85%b1%e8%b5%8f%ef%bc%9a%e4%bb%a5%e5%be%aa%e7%8e%af%e6%a0%87%e5%87%86%e5%88%a4%e5%ae%9a%e6%ad%bb%e4%ba%a1%e7%9a%84%e9%81%97%e4%bd%93%e5%99%a8%e5%ae%98%e6%8d%90%e7%8c%ae%e5%85%a8-2\/","title":{"rendered":"\u597d\u6587\u5171\u8d4f\uff1a\u4ee5\u5faa\u73af\u6807\u51c6\u5224\u5b9a\u6b7b\u4ea1\u7684\u9057\u4f53\u5668\u5b98\u6350\u732e\u5168\u89e3\u6790\uff08\u4e0b\uff09"},"content":{"rendered":"

WLST\uff08withdrawal of life-sustaining therapy\uff09\u6307\u64a4\u9664\u751f\u547d\u652f\u6301\u6cbb\u7597\uff0c\u5305\u62ec\uff1a<\/p>\n

    \n
  1. \u505c\u6b62\u547c\u5438\u673a\uff1b<\/li>\n
  2. \u62d4\u9664\u6c14\u7ba1\u63d2\u7ba1\uff1b<\/li>\n
  3. \u505c\u7528\u8840\u7ba1\u6d3b\u6027\u836f\u7269\uff1b<\/li>\n
  4. \u505c\u6b62\u80be\u810f\u66ff\u4ee3\u6cbb\u7597\uff1b<\/li>\n
  5. \u505c\u6b62ECMO\u7b49\u3002<\/li>\n<\/ol>\n

    \u524d\u63d0\u6761\u4ef6\uff1a<\/strong><\/p>\n

      \n
    1. \u7531\u591a\u5b66\u79d1\u56e2\u961f\u4e25\u683c\u8bca\u65ad\u201c\u4e0d\u53ef\u9006\u8111\u635f\u4f24\u201d\uff08\u5c1a\u65e0\u7edf\u4e00\u8bca\u65ad\u6807\u51c6\uff0c\u5efa\u8bae\u201c\u5b81\u4e25\u52ff\u677e\u201d\uff09\uff1b<\/li>\n
    2. \u7981\u6b62\u5728\u8bca\u65ad\u6216WLST\u51b3\u7b56\u524d\u8ba8\u8bba\u5668\u5b98\u6350\u732e\uff1b<\/li>\n
    3. \u83b7\u53d6\u548c\u79fb\u690d\u56e2\u961f\u4e0d\u5f97\u53c2\u4e0e\u8bca\u65ad\u53caWLST\u51b3\u7b56\u3002<\/li>\n<\/ol>\n

      06 \u6b7b\u4ea1\u5224\u5b9a\u548c\u65e0\u63a5\u89e6\u89c2\u5bdf\u671f<\/h2>\n

      WLST\u540e\u5e94\u5bc6\u5207\u76d1\u6d4b\u60a3\u8005\u7684\u4e34\u5e8a\u72b6\u6001\uff0c\u4ed4\u7ec6\u8bb0\u5f55\u5fc3\u7387\u3001\u8840\u538b\u3001\u547c\u5438\u9891\u7387\u548c\u8840\u6c27\u9971\u548c\u5ea6\u7b49\u6570\u636e\u3002\u4f18\u5148\u91c7\u7528\u6709\u521b\u52a8\u8109\u538b\u3001\u8d85\u58f0\u5fc3\u52a8\u56fe\u3001\u5927\u52a8\u8109\u591a\u666e\u52d2\u6765\u5224\u5b9a\u5fc3\u810f\u505c\u8df3\u3002\u5fc3\u810f\u505c\u8df3\u60c5\u51b5\u4e0b\uff0c\u5fc3\u810f\u65e0\u6548\u7535\u6d3b\u52a8\u4ecd\u53ef\u6301\u7eed\uff0c\u4f9d\u8d56\u5fc3\u7535\u56fe\u5224\u65ad\u4f1a\u5bfc\u81f4\u70ed\u7f3a\u8840\u65f6\u95f4\u5ef6\u957f\u3002\u5982\u5b9e\u65bdWLST\u540e90 min\u5185\u672a\u53d1\u751f\u5fc3\u810f\u9aa4\u505c\uff0c\u5219\u7ec8\u6b62\u6350\u732e\u6d41\u7a0b\u8f6c\u4e3a\u4e34\u5e8a\u5173\u6000\uff08\u4e8b\u5b9e\u4e0a\uff0c\u4e0d\u540c\u56fd\u5bb6\u5bf9\u4e8eWLST\u540e\u7b49\u5f85\u53d1\u751f\u6b7b\u4ea1\u7684\u65f6\u95f4\u9650\u5b9a\u6709\u6240\u4e0d\u540c\uff09\u3002<\/p>\n

      \u5fc3\u8df3\u505c\u6b62\u540e\u9700\u8981\u7ecf\u8fc7\u65e0\u63a5\u89e6\u89c2\u5bdf\u65f6\u95f4\u65b9\u53ef\u5bf9DCDD\u5ba3\u5e03\u6b7b\u4ea1\u3002\u5927\u591a\u56fd\u5bb6\u89c4\u5b9a\u8be5\u65f6\u95f4\u8303\u56f4\u4e3a5~30 min\u3002\u6211\u56fd\u76f8\u5173\u6307\u5357\u8981\u6c42\u4e0d\u63a5\u89e6\u89c2\u5bdf\u65f6\u95f4\u4e3a2~5 min\uff0c\u4f46\u5bf9\u4e8e\u65e0\u8111\u6b7b\u4ea1\u524d\u63d0\u7684DCDD\uff0c\u5efa\u8bae\u4e0d\u63a5\u89e6\u89c2\u5bdf\u65f6\u95f4\u5e94\u57285 min\u6216\u4ee5\u4e0a\u8f83\u4e3a\u5b89\u5168\u548c\u79d1\u5b66\u3002\u4ee5\u4e0b\u4e3a\u4e0d\u540c\u6b27\u6d32\u7406\u4e8b\u4f1a\u6210\u5458\u56fd\u5bf9DCD\u65e0\u63a5\u89e6\u671f\u7684\u89c4\u5b9a\uff08\u88681\uff09\u3002<\/p>\n

      \"\"<\/p>\n

      \"\"<\/p>\n

      \u88681. \u8bd1\u81eaLomero M, et al. Transpl Int. 2020;33(1):76-88\uff08Table 1\uff09<\/em><\/p>\n

      07 \u4f9b\u8005\u70ed\u7f3a\u8840\u65f6\u95f4<\/h2>\n

      DCDD\u8005\u70ed\u7f3a\u8840\u65f6\u95f4\uff08donor warm ischemia time, DWIT\uff09\u53ef\u5206\u4e3a\u603b\u70ed\u7f3a\u8840\u65f6\u95f4\uff08total DWIT, tDWIT\uff09\u548c\u529f\u80fd\u6027\u70ed\u7f3a\u8840\u65f6\u95f4\uff08functional DWIT ischemia time, fDWIT\uff09\uff08\u56fe1\uff09\u3002fDWIT\u4e0e\u79fb\u690d\u53d7\u8005\u7684\u9884\u540e\u548c\u5e76\u53d1\u75c7\u53d1\u751f\u7387\u5b58\u5728\u663e\u8457\u76f8\u5173\u6027\u3002\u4e0d\u540c\u5668\u5b98\u53ef\u63a5\u53d7\u7684fDWIT\u4ea6\u4e0d\u76f8\u540c\uff0c\u5982\u809d<30 min\uff0c\u80be<60 min\u6216<120 min\u3002\u518d\u56de\u5230\u524d\u9762\u63d0\u5230\u7684WLST\u540e\u7b49\u5f85\u53d1\u751f\u6b7b\u4ea1\u7684\u65f6\u95f4\u4ee5\u53ca\u65e0\u63a5\u89e6\u89c2\u5bdf\u65f6\u95f4\uff0c\u8fd9\u4e9b\u65f6\u95f4\u8fc7\u957f\uff0c\u65e0\u7591\u90fd\u4f1a\u52a0\u91cd\u5668\u5b98\u70ed\u7f3a\u8840\u635f\u4f24\u3002\u4e0b\u9762\u5c06\u91cd\u70b9\u4ecb\u7ecd\u5e38\u6e29\u5c40\u90e8\u673a\u68b0\u704c\u6ce8\uff08normothermic regional perfusion, NRP\uff09\u6280\u672f\uff0c\u8be5\u6280\u672f\u4f7f\u5f97\u5141\u8bb8\u5145\u5206\u8bc4\u4f30\u6b7b\u4ea1\u7684\u540c\u65f6\uff0c\u5bf9\u4f9b\u4f53\u5668\u5b98\u8fdb\u884c\u5728\u4f53\u4fdd\u62a4\u3002<\/p>\n

      \"\"<\/p>\n

      \u56fe1. \u4f9b\u8005\u70ed\u7f3a\u8840\u65f6\u95f4\u5b9a\u4e49<\/em><\/p>\n

      08 NRP\u6280\u672f<\/h2>\n

      \u5229\u7528ECMO\u7684\u9759\u8109-\u52a8\u8109\u6a21\u5f0f\u548c\u80f8\u4e3b\u52a8\u8109\u7403\u56ca\uff0c\u5728\u5e38\u6e29\u4e0b\u5c06\u7ecf\u8fc7\u6c27\u5408\u7684\u8840\u6db2\u5bf9\u4f9b\u4f53\u5668\u5b98\u8fdb\u884c\u533a\u57df\u6027\u704c\u6ce8\uff08\u56fe2\uff09\u3002NRP\u6d41\u7a0b\u4e2d\u9700\u6ce8\u610f\u4ee5\u4e0b\u65b9\u9762\uff1a<\/p>\n

      \"\"<\/p>\n

      \u56fe2. \u5e38\u6e29\u533a\u57df\u704c\u6ce8\u793a\u610f\u56fe\u3010\u8f6c\u81ea\u4e2d\u534e\u533b\u5b66\u4f1a\u5668\u5b98\u79fb\u690d\u5b66\u5206\u4f1a. \u4e2d\u56fd\u9057\u4f53\u6350\u732e\u80be\u810f\u704c\u6ce8\u3001\u4fdd\u5b58\u53ca\u4fee\u590d\u6307\u5357\uff082023\u7248\uff09\u56fe2\u3011<\/em><\/p>\n

        \n
      1. NRP\u9700\u83b7\u5f97\u77e5\u60c5\u540c\u610f\u3002\u4e0d\u540c\u56fd\u5bb6\u5bf9NRP\u7f6e\u7ba1\u65f6\u673a\u6709\u4e0d\u540c\u8981\u6c42\uff0c\u5982\u897f\u73ed\u7259\u3001\u7f8e\u56fd\u7b49\u5141\u8bb8\u63d0\u524d\u7f6e\u7ba1\uff0c\u800c\u82f1\u56fd\u7b49\u5fc5\u987b\u7b49\u5230\u5ba3\u5e03\u6b7b\u4ea1\u4e4b\u540e\u518d\u8fdb\u884c\u3002<\/li>\n
      2. \u5982\u9700\u83b7\u53d6\u80f8\u8154\u5668\u5b98\uff0c\u5728\u542f\u52a8\u80f8\u8154\u5668\u5b98\u704c\u6ce8\u524d\uff0c\u9700\u8981\u5f00\u80f8\u7ed3\u624e\u4e3b\u52a8\u8109\u5f13\u5934\u81c2\u5e72\u3001\u5de6\u9888\u603b\u52a8\u8109\u548c\u5de6\u9501\u9aa8\u4e0b\u52a8\u8109\u7b49\u5206\u652f\uff0c\u786e\u4fddNRP\u8fc7\u7a0b\u4e2d\u8111\u90e8\u8840\u6d41\u4e0d\u4f1a\u6062\u590d\u3002<\/li>\n
      3. \u8179\u90e8NRP\u76ee\u6807\u6d41\u91cf>1.7 L\/min\u62162.5~3.0 L\/min\uff0c\u52a8\u8109\u8840\u6c27\u5206\u538b100\uff5e200 mmHg\uff081 mmHg=0.133 kPa\uff09\u3002\u80f8\u8179\u8054\u5408NRP\u76ee\u6807\u6d41\u91cf3\uff5e5 L\/min\uff0c\u704c\u6ce8\u8fc7\u7a0b\u4e2d\u53ef\u4f7f\u7528\u80be\u4e0a\u817a\u7d20\u548c\u5782\u4f53\u540e\u53f6\u7d20\uff0c\u5c06\u5e73\u5747\u52a8\u8109\u538b\u7ef4\u6301\u572860 mmHg\u4ee5\u4e0a\u3002<\/li>\n
      4. \u704c\u6ce8\u65f6\u95f4\u4e00\u822c\u63a7\u5236\u572860\uff5e120 min\uff0c\u6700\u957f\u4e0d\u8d85\u8fc7250 min\u3002\u704c\u6ce8\u524d\u53ca\u704c\u6ce8\u8fc7\u7a0b\u4e2d\u76d1\u6d4b\u8840\u4e73\u9178\u3001pH\u3001\u7535\u89e3\u8d28\u548c\u809d\u80be\u529f\u80fd\u7b49\u6307\u6807\u53d8\u5316\uff0c\u8f85\u4ee5\u8bc4\u4f30\u4f9b\u4f53\u8d28\u91cf\u53ca\u83b7\u53d6\u65f6\u673a\u3002<\/li>\n<\/ol>\n

        09 \u751f\u547d\u63a5\u529b\u7684\u4e2d\u56fd\u65b9\u6848<\/h2>\n

        \u6211\u56fd\u6b63\u63a8\u52a8\u4e24\u5927\u6838\u5fc3\u53d8\u9769\uff1a<\/p>\n

          \n
        1. \u5206\u7c7b\u6807\u51c6\u56fd\u9645\u5316\uff1a\u5c06\u4e2d\u56fd\u7279\u6709\u7684C-III\u7c7b\u6350\u732e\u7eb3\u5165\u6539\u826f\u7248Maastricht\u6807\u51c6\uff08\u8bbe\u4e3aIVB\u4e9a\u578b\uff09\uff0c\u5b9e\u73b0\u56fd\u9645\u6570\u636e\u5bf9\u6807\u3002<\/li>\n
        2. \u6280\u672f\u6d41\u7a0b\u6807\u51c6\u5316\uff1a\u6839\u636eDCDD\u4e0d\u540c\u5206\u7c7b\u5efa\u7acb\u4e2d\u56fd\u64cd\u4f5c\u7ec6\u5219\uff0c\u4fdd\u969c\u6d41\u7a0b\u89c4\u8303\u7684\u540c\u65f6\uff0c\u66f4\u597d\u5730\u5229\u7528DCDD\u5668\u5b98\u53bb\u633d\u6551\u66f4\u591a\u7ec8\u672b\u671f\u60a3\u8005\u7684\u751f\u547d\u3002<\/li>\n<\/ol>\n

          10 \u7ed3\u8bed<\/h2>\n

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          WLST\uff08withdrawal of life-sustaining therapy\uff09\u6307\u64a4\u9664\u751f\u547d\u652f\u6301\u6cbb\u7597\uff0c\u5305\u62ec […]<\/p>","protected":false},"author":13,"featured_media":4445,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[1],"tags":[],"acf":[],"yoast_head":"\n\u597d\u6587\u5171\u8d4f\uff1a\u4ee5\u5faa\u73af\u6807\u51c6\u5224\u5b9a\u6b7b\u4ea1\u7684\u9057\u4f53\u5668\u5b98\u6350\u732e\u5168\u89e3\u6790\uff08\u4e0b\uff09 - tranSnovo<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/transnovo.com\/en\/news\/\u597d\u6587\u5171\u8d4f\uff1a\u4ee5\u5faa\u73af\u6807\u51c6\u5224\u5b9a\u6b7b\u4ea1\u7684\u9057\u4f53\u5668\u5b98\u6350\u732e\u5168-2\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u597d\u6587\u5171\u8d4f\uff1a\u4ee5\u5faa\u73af\u6807\u51c6\u5224\u5b9a\u6b7b\u4ea1\u7684\u9057\u4f53\u5668\u5b98\u6350\u732e\u5168\u89e3\u6790\uff08\u4e0b\uff09 - 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