昨天凌晨2点，同济医院两台同时进行的肝移植手术结束了。至此，因脑干出血不幸离世的押运员陈刚所捐献的器官，顺利移植到5位患者的体内。他的心脏、肝脏和一对肾脏，延续了5个人的生命。

昨天凌晨2点,Tongji hospital two simultaneous liver transplant is over.At this point,Unfortunate died because of brain stem hemorrhage supercargo donated organs by Chen gang,Successfully transplanted to 5 patients.His heart/The liver and a pair of kidneys,Continuation of the lives of five people.

　　其中，最困难的手术是肝移植，为了多救一个人，同济医院选择难度极大的“劈裂式”肝移植，将陈刚的肝脏一分为二，移植进两位女患者体内。

其中,Liver transplantation is the most difficult surgery,In order to save one more,Tongji hospital choice difficulty greatly"Split type"Liver transplantation,Will Chen gang's liver in two,Transplanted into two female patients.

花了近6个小时 Has spent the last six hours

　　将一个肝脏分成两块 将一个肝脏分成两块

　　23日早上8点，陈刚离世3个多小时后，同济医院开始紧张进行肝脏移植手术。通常情况下，肝脏会作为一个整体进行移植，但由于供肝稀缺，等待移植的患者多处在生死边缘，医院决定采取“劈裂式”手术方式，尽可能再多挽救一个人的生命。

23日早上8点,Chen gang died after more than three hours,Tongji hospital began to nervous on the liver transplant.Is often the case,Liver transplant as a whole,But due to the scarcity of donor organs,More patients awaiting transplants at the edge of life and death,The hospital decided to take"Split type"Operation method,As more as possible to save the life of a human being.

　　肝部的胆管、血管错综复杂，分肝的过程非常困难，一旦不成功，移植手术将无法进行。从早上8点多到下午2点，足足花了近6个小时，供肝被成功分成两块。

肝部的胆管/血管错综complicated,Points in the process of liver is very difficult,Once you don't succeed,Will not be able to transplant surgery.From 8 a.m. to 2 p.m,It took nearly six hours,Donor liver was successfully into two pieces.

　两位女患者成功换肝 Two female patients with success in the liver

　　23日下午一点半，33岁的天门女患者进入手术室，肝硬化已引发了腹水、肺部感染，体重仅有40多公斤，将被移植入较小的肝块。虽然较小部分的供肝足够保证患者身体需求，但考虑到陈刚在抢救的过程中，器官曾有过缺血缺氧的影响，为保证手术成功几率更高一些，决定保留患者部分肝脏。手术难度进一步加大。

23日下午一点半,Tianmen female patients, 33, into the operating room,Cirrhosis of the liver has triggered the ascites/Lung infection,Only more than 40 kg,Will be transplanted into smaller liver piece.Although smaller part for patients with liver enough to ensure body needs,But considering the Chen gang in the process of rescue,Organs had ischemia hypoxia,In order to ensure operation success rate higher,Decided to keep patients' portion of the liver.Further increase operation difficulty.

　　下午3点，55岁的黄石女患者进入手术室，同样是慢性重症肝炎导致的肝硬化，她等待移植手术已长达1年，多次消化道出血，重度贫血，此次被临时通知紧急从黄石赶来。经过计算后，另一部分较大供肝能够保证患者存活和恢复，决定将患者病肝全部切除，实施原位肝移植术。两台手术同时进行，昨天凌晨两点均顺利结束。

下午3点,55, Yellowstone female patients into the operating room,Is also a chronic severe hepatitis leads to liver cirrhosis,She waiting for transplants have up to 1 year,Gastrointestinal bleeding for many times,Severe anemia,This is short notice for emergency from Yellowstone.After calculation,Another part of the larger to ensure survival and recovery,All decided to disease in patients with liver resection,Implementation in orthotopic liver transplantation (olt).Two operation simultaneously,At two o 'clock in the morning yesterday ends smoothly.

　　陈孝平教授说：“陈刚家属 陈孝平教授说:"Chen gang's family

　　作了一个伟大的决定” 作了一个伟大的决定"

　　昨天下午，同济医院器官移植研究所常务副所长陈知水介绍，在该院完成的两台肾移植和两台肝移植手术都很顺利，四名患者都在器官移植ＩＣＵ病房，生命体征稳定，功能在慢慢恢复中，无大出血情况。他们闯过排斥反应、感染等关卡后，将重获新生。

昨天下午,Tongji hospital, deputy director of the institute transplant Chen knows water is introduced,Two kidney transplantation and to finish it in the hospital two liver transplant are going well,Four patients in ICU ward organ transplantation,Vital signs stable,Function in the slowly recovering,Without bleeding.They through rejection/After infection levels,Will a new lease on life.

　　器官移植研究所所长陈孝平教授说，陈刚家属作出的是一个伟大的决定。在中国人的传统观念中，人的心脏停跳才意味着死亡，其实，从医学角度说，没有自主呼吸的脑死亡状态下捐献器官，移植成功率更高。陈刚被宣布脑死亡后，其心脏还在呼吸机的维持下跳动，确保器官的供血，此时家属同意器官捐献，可让医生做好摘取器官的准备。在红十字会的见证下，呼吸机被拔掉，在陈刚的心脏停跳后紧急摘取的器官将最大程度地确保功能。

器官移植研究所所长陈孝平教授说,Chen gang's family is a great decision.In the traditional idea of Chinese,People died of cardiac arrest just means,In fact,From a medical perspective,No donor organs under spontaneous breathing state of brain death,Transplant success rate is higher.After Chen gang was declared brain dead,The heart also beat under the maintain of breathing machine,To ensure the organ blood flow,The family agreed to organ donation,Can let the doctor ready to harvest organs.Under the witness of the Red Cross,Breathing machine has been pulled out,After Chen gang of cardiac arrest emergency harvesting the organs will best ensure the function.

　　将国际上脑死亡和传统的心死亡概念有机结合在一起，被称为脑心双死亡器官捐献(ＤＢＣＤ)，这是符合我国国情的器官捐献方式。陈孝平说，陈刚家属能在陈刚脑死亡后同意捐献，成功挽救5位患者的生命，意义非凡。

将国际上脑死亡和传统的心死亡概念有机结合在一起,Known as brain heart double death organ donation(DBCD),This is accord with China's national conditions of organ donation.Alternative said,In Chen gang Chen gang's family agreed to donate after brain death,Succeed to save five lives,Makes perfect sense.

　　记者肖娟 通讯员田娟 蔡雄

记者肖娟 通讯员田娟 蔡雄

　　实习生李洋

实习生李洋