2020版《脑死亡/符合神经病学标准的死亡判定》解读

doi:10.3969/j.issn.1672-6731.2021.04.003

中国现代神经疾病杂志 ›› 2021, Vol. 21 ›› Issue (4): 241-244. doi: 10.3969/j.issn.1672-6731.2021.04.003

2 2020版《脑死亡/符合神经病学标准的死亡判定》解读

胡文政¹, 杨中华², 黄越¹, 石广志³, 张哲², 刘丽萍², 周建新³

1 100070 首都医科大学附属北京天坛医院神经病学中心国家神经系统疾病临床医学研究中心;
2 100070 首都医科大学附属北京天坛医院神经重症医学科;
3 100070 首都医科大学附属北京天坛医院重症医学科

收稿日期:2021-04-12 出版日期:2021-04-25 发布日期:2021-04-27
通讯作者: 周建新,Email:zhoujx.cn@icloud.com
基金资助:
国家自然科学基金资助项目（项目编号：82071417）

Interpretation of “Determination of Brain Death/Death by Neurologic Criteria” (version 2020)

HU Wen-zheng¹, YANG Zhong-hua², HUANG Yue¹, SHI Guang-zhi³, ZHANG Zhe², LIU Li-ping², ZHOU Jian-xin³

1 Center of Neurology, China National Clinical Research Center for Neurological Diseases, Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, China;
2 Neuro-Intensive Care Unit, Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, China;
3 Intensive Care Unit, Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, China

Received:2021-04-12 Online:2021-04-25 Published:2021-04-27
Supported by:
This study was supported by the National Natural Science Foundation of China (No. 82071417).

摘要/Abstract

摘要：

自1968年哈佛脑死亡标准公布以来，全世界范围内陆续发表多篇关于脑死亡/符合神经病学标准的死亡（BD/DNC）的指南和诊断流程，并且不断被修订、更新。2020年世界脑死亡项目发布《脑死亡/符合神经病学标准的死亡判定》，以统一各国临床实践并提高BD/DNC判定的严格性。本文分析并解读2020版《脑死亡/符合神经病学标准的死亡判定》，以明确BD/DNC概念、判定的最低临床标准、辅助检查、儿童/新生儿BD/DNC的判定，并与我国现行的脑死亡判定指南进行比较，以明确国内外脑死亡判定标准之间的差异，供国内相关专业医疗人员参考和借鉴。

关键词: 脑死亡, 指南, 综述

Abstract:

Since the Harvard Brain Death Criteria was published in 1968, many guidelines and diagnostic procedures of Brain Death/Death by Neurologic Criteria (BD/DNC) have been published throughout the world, and these determination criteria have been constantly revised and updated. The World Brain Death Project published the "Determination of Brain Death/Death by Neurologic Criteria" in 2020 to unify clinical practice across countries and improve the rigorousness of BD/DNC determination. This article analyzes and interprets these "Determination of Brain Death/Death by Neurologic Criteria" (version 2020) to clarify the concept of BD/DNC, the minimum clinical criteria for Determination of BD/ DNC, ancillary testing, and the pediatric/neonatal BD/DNC, and to compare with the current practical guidance for determination of brain death in China, and analyze the differences between China and foreign countries, so as to provide reference for medical personnel in related professions in China.

Key words: Brain death, Guideline, Review

胡文政, 杨中华, 黄越, 石广志, 张哲, 刘丽萍, 周建新. 2020版《脑死亡/符合神经病学标准的死亡判定》解读[J]. 中国现代神经疾病杂志, 2021, 21(4): 241-244.

HU Wen-zheng, YANG Zhong-hua, HUANG Yue, SHI Guang-zhi, ZHANG Zhe, LIU Li-ping, ZHOU Jian-xin. Interpretation of “Determination of Brain Death/Death by Neurologic Criteria” (version 2020)[J]. Chinese Journal of Contemporary Neurology and Neurosurgery, 2021, 21(4): 241-244.

http://journal11.magtechjournal.com/cjcnn/CN/Y2021/V21/I4/241

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2 2020版《脑死亡/符合神经病学标准的死亡判定》解读

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