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HOTA cancer organs to 4 patients from a woman corpse @ Elizebeth Hosp

hotabandit

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http://hk.news.yahoo.com/癌婦器官-伊院誤捐贈4人-224900021.html

癌婦器官 伊院誤捐贈4人

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經濟日報經濟日報 – 18小時前

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伊利沙伯醫院誤將患癌症婦人的器官捐出,其中接受心臟移植的患者昨日逝世。(資料圖片)放大圖片

伊利沙伯醫院誤將患癌症婦人的器官捐出,其中接受心臟移植的患者昨日逝世。(資料圖片)
接受癌病患者器官病人狀況放大圖片

接受癌病患者器官病人狀況

【經濟日報專訊】一名51歲中風死亡的女病人,遺愛人間捐贈器官救人,惟醫生誤將她身上惡性胸腺瘤當作良性,4人接受心肝腎器官捐贈後,其中1人去世,另外3人要接受緊密監測。這是伊利沙伯醫院5年來第二次同類事故。

有醫生相信將癌細胞也移植到病人身上的機會極微,但以後進行器官移植應有病理學人員候命,不可再靠推論(見另文——「醫生倡先快測後移植 免恐慌」)。

伊利沙伯醫院昨晚公布,一名51歲女病人上周六(18日)中風入院,經搶救無效,本周一(20日)去世。

1人去世 另3人情況穩定

根據臨床評估,病人的心臟、肝臟、兩個腎臟及一對眼角膜情況良好,適合用作器官移植。醫生獲家人同意捐贈死者器官,遂安排本周二(21日)進行器官移植手術。

醫護人員在切除器官的過程中,發現捐贈者胸腺位置有一個約3.5乘1.5乘3厘米的胸腺瘤,臨床評估認為屬良性。捐贈者的心臟和肝臟分別捐給一名51歲心臟衰竭男病人及一名38歲患肝昏迷的男病人,並在瑪麗醫院進行移植。至於兩個腎臟則分別捐給一名41歲女病人和一名54歲女病人,分別在伊利沙伯醫院及瑪麗醫院進行移植。

有關手術順利完成,但接受心臟移植的男病人因多重器官衰竭,昨日凌晨逝世,其餘3名受惠病人仍留醫,情況穩定。

但伊院其後為腫瘤組織進行化驗後,昨日詳細化驗結果顯示,死者胸腺瘤為早期胸腺上皮瘤,屬於罕有類別。

惡性瘤當良性 5年第二次

院方立即就個案再次評估風險,並知會有關醫院,各院的醫生已於今日安排與病人及家屬會面,解釋情況,包括相關的風險及相應的跟進計劃。

醫生會為各病人進行詳細檢查,及緊密跟進監察病人進展。而早前已送往香港獅子會眼庫的一對眼角膜,不會用作移植予病人,並會銷毀。

這是伊利沙伯醫院繼07年11月後,第二次誤將器官捐贈者的惡性腫瘤當良性,並進行器官移植。伊院發言人表示,這宗07年發生的個案,有關的病人至今情況穩定,並無發現健康受器官捐贈影響。


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Patient died after receiving the cancer heart!

http://7thspace.com/headlines/40646...se_of_organ_donation_and_transplantation.html

Queen Elizabeth Hospital announcement on case of organ donation and transplantation


Hong Kong (HKSAR) - The following is issued on behalf of the Hospital Authority:

The spokesperson for Queen Elizabeth Hospital (QEH) made the following announcement today (February 23) regarding a case of organ donation and transplantation:

A 51-year-old female patient was admitted to QEH on February 18 due to stroke and passed away on February 20 despite resuscitation. According to clinical assessment, the condition of the patient's heart, liver, both kidneys and pair of corneas was unremarkable and, hence, suitable for organ transplant. The organ donation appeal was conveyed to the deceased's relatives and their consent was obtained after thorough discussion.

Hospitals concerned were informed of the available organs for transplant operations.

The organ transplantations were performed on February 21 at Queen Mary Hospital (QMH) and QEH. The heart was transplanted to a 51-year-old male cardiac patient, while the liver graft was transplanted to a 38-year-old male patient with hepatic coma at QMH. The kidneys were transplanted to two female renal patients - a 41-year-old patient at QEH and a 54-year-old patient at QMH.

The related clinical checklist, recipients' conditions and overall risk assessment were considered before the transplantations were performed according to the established organ donation guidelines. Explanation was provided to the patients and relatives and consent was obtained for the operations. The transplantations were uneventful.

The heart-transplanted male patient unfortunately succumbed in the early morning today due to multi-organ failure. The remaining three patients are still hospitalised in the respective hospitals and are in stable condition.

During the organ harvest surgical procedure, a thymoma of 3.5cm x 1.5cm x 3cm was found in the donor's thymus and was considered benign according to clinical assessment.

After considering the established organ donation checklist and the related risk assessment, the transplantation of organs was considered suitable. Detailed results of tissue examination were available on February 22 and showed that the thymoma was at an early stage of thymic epithelioma tumour, which is a rare type.

Risk assessment was immediately conducted and hospitals concerned were informed. Arrangements have been made to meet the patients and the relatives for detailed explanation of related risk and follow-up plans.

The recipients are under close monitoring and active follow-up. The pair of corneas, which had been sent to the Lions Eye Bank of Hong Kong earlier, will be destroyed and no transplantation will be arranged.

Organ transplantations in public hospitals have to comply with established organ donation guidelines of the Hospital Authority (HA), including the consideration of a recipient's clinical condition and due operation urgency.

According to clinical oncologists, the risk is remote for thymic epithelioma tumour to have an impact on an organ recipient.

The HA would like to extend its appreciation again to the donating family for their meaningful act in supporting organ donation, which continues the lives of patients in need.


Source: HKSAR Government



Published on: 2012-02-23

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