• 家属对亲属器官捐献决定的影响因素分析及应对措施

    Subjects: Medicine, Pharmacy >> Preclinical Medicine submitted time 2017-12-07 Cooperative journals: 《分子影像学杂志》

    Abstract: Objective To explore the factors influencing family decision to offer the relative organ donation and the solution by the interview work of the donation after the citizen's death(DCD), providing the basis for alleviate the shortage of organ in the clinical supply plan. Methods A total of 62 cases with the potential DCD who were treated and analyzed in the transplantation medicine center from Jan. 2015 to Jan. 2016 were recruited as the study objects, the influence factors were explored on the decision analysis of the families to relatives organ donation and counter measures, of DCD case analysis ,interview time, investigators professional degree, by the interview work of the DCD, the family acceptance for or gan donation, the family structure, and the impact of family members to DCD decided. Results The key success factors of the DCD :(1) Interview time were chosed when the all family members gived up after the treatment; (2)the concept and process of the clinical DCD and the usage of DCD system would not be questioned; (3)investigators were performed the skills training of the DCD interview;(4) the patient's family structure was nuclear family, the participants in the DCD discussion only were the core members of the family. Conclusion The DCD decision of family is influenced by many factors, the DCD system need to be standardized by the government and medical institutions , the professional training to the investigators can be strengthened, the DCD knowledge should spread, the social public opinion of the DCD have to improve ,the national DCD registration and distribution platform can be established,the organ shortage must be alleviated and the quantity and donation rates of DCD can be improved in the important clinical significance.

  • 高强度聚焦超声消融治疗子宫腺肌症的临床研究

    Subjects: Medicine, Pharmacy >> Preclinical Medicine submitted time 2017-12-07 Cooperative journals: 《分子影像学杂志》

    Abstract: Objective To observe the effect of high intensity focused ultrasound in the treatment of adenomyosis of uterus. Methods A total of 25 cases of patients with adenomyosis of uterus disease were treated with high intensity focused ultrasound ablation, and were followed up regularlyrecords of dysmenorrhea and menstrual conditions. Results A total of 25 patients completed the treatment and were followed up for 6 months, the remission rate of dysmenorrheal was 86%, menstrual volume reduction rate was 84%,recent curative effect was obvious. Conclusion High intensity focused ultrasound ablation is a noninvasive technique to preserve the uterus, recent curative effect is obvious, the long-term effect ie still need to be further clinical observation and verification.