变废为宝，脐带血渐成“救命血” Make the,Cord blood gradually into"Help blood"

保存脐血，渐成当下父母新选择 Save umbilical cord blood,Gradually into the new choice for parents

　　今年9月17日，在河北省燕达国际医院血液肿瘤中心手术室，一名9岁的患儿正在进行脐带血造血干细胞的移植手术。该患者四年前被确诊为急性淋巴性白血病，母亲生二胎留脐带血为其移植。庆幸的是妹妹的脐带血与该患者配型成功，完全满足手术需要。

September 17,,In hebei province yan of international hospital blood cancer center operating room,A nine-year-old children are in cord blood hematopoietic stem cell transplant.The patients four years ago were diagnosed with acute lymphocytic leukemia,Mothers leave for its two foetuses umbilical cord blood transplantation.The good news is sister's umbilical cord blood and the patients successfully matches,Fully meet the operation need.

　　鉴于当时该患儿家庭困难的实际情况，山东省脐血库决定免费为其保存这分生命的希望。目前该名患儿接受完脐带血造血干细胞移植手术，正在观察期，一旦植入成功便可出仓。

In view of the children at the actual situation of family difficulties,Umbilical cord blood bank in shandong province decided to free for the save this points as the hope of life.The patients received the cord blood hematopoietic stem cell transplantation surgery,Is observation period,Once the implant success can be out of the warehouse.

变废为宝 Make the

脐带血渐成“救命血” Cord blood gradually into"Help blood"

　　“新生儿娩出离断脐带后，阻挡在脐带和胎盘里面的血液，就是脐带血。”很长一段时间里，脐带血是作为废弃的血液处理掉的。其实，早在李时珍《本草纲目》中就有用小儿脐带血治疗眼疾的记载，可见脐带血的应用由来已久。

"New student childbirth goes out from the umbilical cord,Stop in the umbilical cord and the inside of the placental blood,Umbilical cord blood is."For a long time,Umbilical cord blood is as abandoned blood get rid of.In fact,As early as in LiShiZhen[Compendium of materia medica]In the pediatric useful umbilical cord blood treatment of eye diseases recorded,The application of cord blood has seen.

　　脐带血内因富含大量的造血干细胞，可媲美骨髓进行造血干细胞移植治疗疾病，脐带血发展至今，可治疗血液系统疾病、免疫缺陷症、恶性肿瘤等80余种疾病，包括大众比较熟悉的白血病、再生障碍性贫血及恶性淋巴瘤、神经母细胞瘤等。尤其在恶性血液病、免疫缺陷病及实体肿瘤方面的应用，正在挽救越来越多的生命。

Rich in a large number of internal umbilical cord blood hematopoietic stem cells,Comparable to bone marrow hematopoietic stem cell transplantation in the treatment of disease,Umbilical cord blood development so far,Can treat the blood system diseases/Immunodeficiency disease/Malignant tumor of more than 80 kind of disease,Including the public more familiar leukemia/Aplastic anemia and malignant lymphoma/Neuroblastoma and so on.Especially in the malignancies/Immunodeficiency disease and the application of solid tumors,Is to save more and more life.

　　截至2011年11月，全世界用于移植的干细胞有30000例以上，美国儿童50%干细胞移植用脐带血干细胞，成人20%干细胞移植用脐带血干细胞，日本成人应用比例更高。我国今年预计达1500例，成年使用比例与世界相比仍有较大差距。

By November 2011,The world of stem cells for transplantation have more than 30000 cases,American children 50% stem cell transplantation in cord blood stem cells,20% of adult stem cell transplantation in cord blood stem cells,Japanese adult higher proportion of application.This year China is expected to reach 1500 cases,Adult use proportion compared with the world there is still a large gap.

脐带血使用率逐年上升 Umbilical cord blood utilization rate is rising year by year

　　脐带血采集只有在新生儿出生的几分钟之内才能完成，错过了便无法挽回。因为一生只有一次保存机会，在孩子生长的过程中一旦出现恶性疾病便可以起到“生命种子”的作用，所以脐血保存机构也被称为“生命银行”。

Umbilical cord blood collection only in the birth of a few minutes to complete,Missed cannot save.Because have only one life and one chance to save,In the process of growth of children once appear, malignant disease can play"Life seed"role,So the umbilical cord blood preservation mechanism is also called"Life bank".

　　脐带血具有诸多优点：脐带血干细胞更原始，未受到放射、药物、毒物、病菌或其他环境污染；脐带血干细胞的增殖能力是骨髓的20倍；脐带血的采集较容易、不具伤害性，不会对产妇及新生儿产生不良影响；脐带血在-198℃液氮中储存，可随时取用；用脐带血给他人移植时，排斥反应小，大大降低了因为排斥反应导致的抗宿主病死亡率。

Umbilical cord blood has many advantages:Umbilical cord blood stem cells more primitive,Unaffected by radiation/drug/poison/Bacteria or other environmental pollution;Umbilical cord blood stem cells in the bone marrow proliferation ability is 20 times;Umbilical cord blood collection easier/Has no harmful,Not on maternal and neonatal adverse effects;Umbilical cord blood in - 198 ℃ stored in liquid nitrogen,May at any time to;Umbilical cord blood transplantation with to others,Rejection small,Greatly reduced because of rejection lead to resistance to host disease mortality.

　　目前，随着脐带血造血干细胞移植术被卫生部批准为三类医疗技术在临床广泛使用，脐带血造血干细胞移植使用数量也逐年上升。世界脐血库联盟数据显示：脐带血的综合使用比率超过1/10,远超骨髓库1/1000的使用率，已经成为造血干细胞临床移植术医生的新选择。

At present,Along with the cord blood hematopoietic stem cell transplantation was approved by the public health ministry for three types of medical technology is widely used in clinical,Umbilical cord blood hematopoietic stem cell transplantation number use has increased year by year.The world of library alliance data display:Umbilical cord blood comprehensive use rate more than 1/10,GuSuiKu far above the utilization rate of 1/1000,Hematopoietic stem cell transplantation has become a clinical doctor new choice.

专家意见：有条件都有必要保存 Expert advice:Have conditions are necessary to save

　　我国著名造血干细胞移植专家、中国工程院院士陆道培教授说，“作为医生，我不反对自体存储脐带血。在治疗时，如果有病人自身储存的脐带血，我一定会选择利用其进行治疗。因为自体脐血的基因和配型完全吻合，不会出现移植后的移植物抗宿主反应和排斥现象。”他表示，从医学的角度，保存脐带血是有价值的，家庭可以根据自身的经济条件决定是否保存。作为医生，陆院士希望将来更多病人在需要时能用上自体脐带血。

China's well-known hematopoietic stem cell transplantation experts/Chinese academy of engineering LiuDaoPei professor said,"As a doctor,I don't object to self stored cord blood.In the treatment,If a patient's own stored cord blood,I will choose to use its treatment.Because autologous cord blood genes and matches perfectly,Won't appear after transplantation of graft versus host disease and rejection."He said,From the medical point of view,Save cord blood is valuable,The family can according to its own economic condition to decide whether to save.As a doctor,Academician lu in the future we hope to more patients in need can be used on the autologous cord blood.

　　中国医学科学院中国协和医科大学血液学研究所血液病医院淋巴系统疾病中心主任医师、教授邱录贵表示：“目前，脐带血造血干细胞应用领域已经很成熟了，除了众所周知的白血病、淋巴瘤、再生障碍性贫血等疾病外，已扩展到脑瘫、截瘫、帕金森综合征、血管性疾病、风湿免疫系统疾病等多项疾病，前景应用非常广泛。”

Chinese academy of medical sciences and China xie-he medical university institute of hematology hematopathy hospital lymphatic system disease center chief physician/Professor said y. zhao et al:"At present,Umbilical cord blood hematopoietic stem cell application field already very mature,In addition to known leukemia/lymphoma/Aplastic anemia and other diseases outside,Already expanded to cerebral palsy/paraplegia/Parkinson's syndrome/Vascular disease/Rheumatoid immune system disease and so on many diseases,Application prospect is very wide."

　　山东省千佛山医院血液内科主任医师黄宁表示，如果财力能达到，建议每个人都自存一份脐带血，这种“生命保险”是什么东西都无法替代的。脐带血中含有大量的造血干细胞，主要用来救治白血病、再生障碍性贫血、免疫缺陷、代谢性疾病等难治之症，手术成功率高，排斥反应很小。脐带血造血干细胞移植，尤其在治疗重型再生障碍性贫血上，可以说功不可没。

Shandong above hospital blood head of the medical department physician HuangNing said,If money can achieve,Suggested everybody from save a cord blood,this"Life insurance"What can replace.Umbilical cord blood contains a lot of hematopoietic stem cells,Mainly used to cure leukemia/Aplastic anemia/immunodeficiency/Metabolic disease of refractory disease,Surgical success rate high,Rejection is small.Umbilical cord blood hematopoietic stem cell transplantation,Especially in the treatment of heavy on aplastic anemia,Can play an important role.

脐带血在山东入库量年增25% Umbilical cord blood in shandong in the quantity increased by 25%

　　从闻所未闻到家喻户晓，脐带血在我省的发展正渐入佳境。山东省脐血库统计的数据显示，从2009年开始入库量保持了每年20%—25%的增长，2012年预计可达1.8万例。入库量增势明显的原因主要是两方面：一是外部环境，国际脐带血来源的造血干细胞移植手术增多，并且更多的应用于成人，国内的移植手术技术越来越成熟，大家对脐带血在认知度上有很大的提高；二是由于各种污染、辐射等环境因素造成恶性疾病的发病率增加，父母担心孩子将来患血液系统疾病，特别是再生障碍性贫血、白血病，由于自体脐血无需检索配型，可作为孩子的“生命保险”。

From far afield to household,The development of umbilical cord blood in our province are up-and-up.Shandong province statistical data showed that umbilical cord blood bank,Since 2009 the quantity to keep the growth of 20% a year,In 2012 is expected to can reach 18000 cases.The quantity growth obvious reason mainly is two aspects:One is the external environment,International source of cord blood hematopoietic stem cell transplant increase,And more applied in adult,Domestic transplant technology is more and more mature,Everyone in the recognition of cord blood has been greatly improved;The second is as a result of all sorts of pollution/Radiation and other environmental factors increase the incidence of malignant disease,Parents worry about the children with blood system diseases in the future,Especially aplastic anemia/leukemia,Because of autologous cord blood matches without retrieval,Can be used as the child's"Life insurance".

　　另外，还应正确认识脐血库和中华骨髓库相比不同之处。骨髓库是资料库，有意愿捐献的人先登记，实施流程要经过配型、联系、等待等，而且并非所有登记的志愿者都愿意捐献，经常发生因为家人反对或其他自身原因而反悔或联系方式变更无法联络的情况。但脐血库是实体库，随用随取，将这一过程缩短到7-10天，极大降低了治疗费用，减轻了患者痛苦。

In addition,Should also be a correct understanding of umbilical cord blood bank and the CDMP data bank compared with difference.GuSuiKu is database,Will donations of people first registration,Implementation process should pass matches/contact/Waiting, etc,And not all registration of the volunteers are willing to donate,Often happen because the family against or other to its own reason and pull back or contact way change cannot contact situation.But the umbilical cord blood library is entity library,As with take with,Will this process shorten to 7 to 10 days,Greatly reduce the treatment cost,Reduce the patient pain.

储存脐血，要选择合法规范的储存机构 Umbilical cord blood storage,Want to choose legal standard storage mechanism

　　脐血库全称叫“脐带血造血干细胞库”，是专门提取和保存脐带血造血干细胞并为患者提供查询的特殊医疗机构。建立脐带血库就可以把脐带血造血干细胞这一人类重要的生物资源储存起来，同时也可以满足个人自体储存的特别需要，以备日后不时之需。

Full name is umbilical cord blood bank"Umbilical cord blood hematopoietic stem cell bank",Is specially extraction and save cord blood hematopoietic stem cells for patients and provide inquires the special medical institutions.Umbilical cord blood bank can establish the cord blood hematopoietic stem cells that a human important biological resources stored up,At the same time can also meet the special needs of the individual self storage,To prepare for a future.

　　我国对脐带血保存机构有较为严格的准入标准，必须由卫生部批准设立，开展脐血相关业务需获得《血站执业许可证》方可进行。是否持有该证书，就成为辨别脐血库是否合法的重要证据。从2001年至今，卫生部批准设立的脐带血库仅有7家。山东省脐血库是我省唯一一家经国家卫生部批准、验收合格的脐血库。同时，卫生部《血站管理办法》也明确规定，经卫生部批准的脐血库才是脐带血采集、供应的唯一合法机构。脐带血能否存放在合法脐血库，也决定了脐带血一旦需要使用时，是否有正规医院接收。因此，储存脐带血，选择合法规范的储存机构才是脐血安全的前提。(安祥程)

Our country to cord blood preservation institutions have relatively strict access standard,Must be approved by the ministry of public health,Umbilical cord blood in related business required to obtain[Blood stations practice license]can.Do you have the certificate,Will become distinguish whether the umbilical cord blood library legal important evidence.From 2001 to now,Approved by the public health ministry and the establishment of the umbilical cord blood bank only seven home.Shandong province is the only one in our province umbilical cord blood bank by the state ministry of health approval/The acceptance of umbilical cord blood bank.At the same time,The ministry of health[The measures for the administration of the blood stations]Also clearly stipulates,After approved by the public health ministry and umbilical cord blood of library is the cord blood collection/Supply the only legitimate institutions.Umbilical cord blood can be stored in legal umbilical cord blood bank,Also determines the cord blood once need to use,If there is a normal hospital reception.therefore,Stored cord blood,Choose legal standard storage mechanism is the precondition of umbilical cord blood safety.(Peaceful process)