Transplant cancer patient's cornea and cause the dispute in Wenzhou

Transplant cancer patient's cornea and cause the dispute in Wenzhou
Transplant cancer patient's cornea and cause the dispute in Wenzhou
It is the domestic cornea that supports the body to be scarce on one side, another side, the increasingly many cancer patient hopes to donate one's own cornea. Can the cancer patient's cornea be used? Some provincial hospitals of Zhejiang transplant the cancer patient's cornea, hold a prudent attitude, because of the medical textbook, list malignant tumour in " relative taboo card " clearly . In the ophthalmology hospital of Wenzhou, from 2008 to the present, the transfer operation of the cancer cornea has been going on, the reason is similar to the operation in U.S.A. to go on in decades, have not initiated sequela. Times reporter DiWen Li /last reporter, according to the statistics of 1989, the blind patient of cornea of our country is probably 3 million; Pass by 20 more than year, after population increase, guard, estimate cornea blind patient should in 4 million about. Liu Chuan dish stand at the long corridor of the hospital dully. The pedestrian brushes past from his side frequently, he has not perceived. Perhaps, he is unable to perceive at all. "Your cornea is bad, change the cornea! " The doctor says to him. "How long does that wait? " " uncertainly that the doctor shakes the head. " "Are two or three months enough? " Liu Chuan asks one again. Doctor continue, shake the head, " this piece uncertainly, perhaps is long. " "Is one year enough? " "Time we uncertainly, take one year perhaps really, over one o'clock perhaps. " Every word which the doctor said, like iron hammers, the heart that very heavy while breaking Liu preached. "Your yourself psychology should be adjusted well, what should be done or what is done! Don't be disheartened! Have appropriate corneas, we will notify you at once! " March 8, the People's Hospital of Zhejiang Province. Liu Chuan dish go out of the clinic building under the support of elder brother. Outside the floor, it is sunny, the spring scenery are limitless. But a unable vivid ground of Liu Chuan is seen. At this moment, his left eye eyesight is 0.2, the right eye is 0.05. Liu Chuan is said to be the people in Henan Xinyang, comes to Hangzhou to work as a temporary labourer for more than two years. Eyes had illness coming on, can trace back to more than 10 years ago. At first, feel eyes feel a pain. The doctor of the hospital of native place tells him, it is viral keratitis, it will be good to drip some eye drops. Day passes by day by day, has not taken a favorable turn, eyesight is poorer and poorer instead, "2008, an eye of my eyesight will be turned into 0.8, another eye is 0.3. " Now, the doctor tells him want to change the cornea, otherwise, eyes will be blind. "I won't do by bike now. Sometimes, eyes will ache very much, dizzy, disgusting, the mood is agitated! " Will it be morning March 14, Liu Chuan dish lie in the taxi room of Hangzhou, turned on the television, " hear " The TV, " I only hope now, change the cornea as soon as possible. " There are a lot one waits for patients that is transplanted of cornea equally with Liu Chuan. The cornea Yao XiaoMing, director, ophthalmology doctor of inpatient area of ophthalmology hospital of Shenzhen tells reporters, according to the statistics of 1989, the blind patient of cornea of our country is probably 3 million; Pass by 20 more than year, after population increase, guard, estimate cornea blind patient should in 4 million about. They are most can transplant through the cornea, see light again. However, there are still few people liking to donate the cornea now. The patient can only struggle in the darkness earnestly. One are reputable the worries of trying to persuade the person who donates are that the cornea support the body to be scarce on one side, another side, the increasingly many cancer patient hopes to donate the cornea. If the cancer patient's cornea can be used, that is better. Liu is bright to often say with feeling in mind so. Liu Ming ( Assumed name) It is a reputable cornea of Hangzhou that tries to persuade the person who donates. Become voluntary to advise the beginning in persons who donate, he has accepted vocational training. Liu Ming remembers, while training, the teacher emphasizes, the cancer patient's cornea, can't be regarded as and supported the body, the reason is afraid of disease to pass to the receptor through the cornea. Since then, Liu Ming has been far away from the cornea donor of cancer all the time, " it is donated even if there are patients, I help them to fill out and donate forms. " These forms have been all put into the bag covered with dust finally. Have one the intersection of cancer and patient once, it moves Liu to be bright deeply. Her eyes are very big, very bright. It is pancreas cancer she in later period says, hopes to donate the cornea. After leaving this world, can also see one's own husband and child through others' eyes. Liu Ming can't bear to be refused, has awarded the honorary certificate to her. Then, married couple be suffered together two number of people,by show good certificate of making just, in the white ward, take a picture and regard as memory. Soon, the woman is taking the cornea which she wants to donate but not donate to leave away. And from beginning at that time, Liu Ming found, to register cancer patients who donated the cornea more and more. "This is normal too. There are many cancer patients now, from having illness coming on to leave, they have the time of longer consideration. After discussing with family, a lot will determine to donate. " It is the cornea that supports the body to be scarce on one side, another side, the increasingly many cancer patient hopes to donate the cornea. If the cancer patient's cornea can be used, that is better. Liu is bright to often say with feeling in mind so. Soon, the intersection of Shenzhen and one death of volunteer, let Liu bright to donate the cornea, have new knowledges to the intersection of cancer and patient. The volunteer is Cong Fei, after suffering from gastric carcinoma and dying, the cornea was transplanted through doctor Yao XiaoMing of the ophthalmology hospital of Shenzhen, let 5 cornea patients see light again. Liu Ming contacts expert of the ophthalmology hospital of Shenzhen, the expert tells him, the cancer patient's cornea can't be regarded as and supported the body to be a kind of mistaken idea. Liu Ming has told a large-scale medical organization of Zhejiang the information that oneself got. "That is not all right, responsibility is too great. In case the feeling of meeting accident, brands in the whole hospital should be broken. " This large hospital has transmitted such meaning to him. "I do not serve this hospital, I serve all cornea patients. " Hold such an idea, inside the province cornea advise the persons who donate begin cooperation with the ophthalmology hospital of Shenzhen. At the beginning of of 2008, the citizens in Hangzhou suffered from lung cancer to pass away oldly and bluely and greenly and fragrantly. Two old blocks of corneas reach the ophthalmology hospital of Shenzhen air transport, make two citizens in Shenzhen regain one's sight. Not as different sounds of dispute of answers: "On the medical textbook, explain and transplant the cancer patient's cornea clearly, very great risk exists. " That year, Zhejiang Province prevent from blind ophthalmology director, director of instructing center and the People's Hospital of Zhejiang Province big to have a southern exposure to give an interview at this point, he says: "On the medical textbook, explain and transplant the cancer patient's cornea clearly, very great risk exists. " Big Chaoyang of today, already the honour has been promoted to a Vice President, holds eyes disease chief of research institute, Zhejiang Province ophthalmology branch's committee member of medical association in Zhejiang Province concurrently at the same time. In the morning of March 8, the staff reporter went to the hospital to interview bigly and have a southern exposure. He is handling patients in the clinic of ophthalmology department. He gives a thick " ophthalmology operation book " to a reporter, is published by People's Health Publisher. Book in about " The cornea operation " Chapter,so say: "Some diseases can be passed to the cornea implant The receptor, cause the serious consequence (this point must pay close attention to of jeopardizing receptor's life! )So, must stipulate strictly that support the adaptation card of the eyes " . Still emphasize in the book, before performing an operation on cornea, very important to the choice for the eyes to meet the card, must treat cautiously " As to the taboo card " Eyes,in order to ensure the safety of receptor. And is listing " As to the taboo card " China, write clearly " malignant tumour especially do radiotherapy or long-term person who treats applied chemistry for a long time " . "As to the cornea that the cancer patient offered, we have been more cautious all the time. Board layers of corneal transplantation make some still now, penetrating the intersection of corneal transplantation and we make " ,The big morning sun is told reporters. So, province the People's Hospital, through one floor of corneal transplantation of board, only 4 that are transplanted to the cancer patient's cornea in one year. First anonymous cornea advise the person who donates tell reporter, in Zhejiang Province, some authoritative transplantation of the cancer cornea of hospitals, authoritative experts is very prudent, and not only save one of the People's Hospital. The ophthalmology hospital of Wenzhou: "Utilize the cancer patient's cornea, U.S.A. has spent decades, does not have any sequela, why can't we use? ! " While large-scale hospital treats the provincial capital with caution, the following hospitals of districts and cities, have already begun to cast off restrictions. Wenzhou the intersection of medical college and subsidiary eyes look at smooth hospital ' Hereafter referred to as the ophthalmology hospital of Wenzhou) ,It is the only ophthalmology hospital of the first, second and third in Zhejiang Province, the eye bank of Wenzhou was established in 2005. The hospital sets up the branch in Hangzhou, Suzhou and other places at present. In May of 2008, the cornea that the ophthalmology hospital of Wenzhou begins to try water cancer patient will be transplanted. Responsible for cornea disease specialized department director Chen Wei of this job, graduated to come back home from the post-doctor of institute of ophthalmology of Harvard University in 2004, hold the Chinese ophthalmology department concurrently at present and learn the cornea disease and study group's committee member. "We have already used cancer cornea for about 3 years, there are more than 60 altogether, have not produced any sequela so far. " Wei Chen say to staff reporter " support body to be scarce mainly, otherwise the intersection of operation and quantity also can rise. " In these operations, the hospital mostly produce and transplant the skill with deep stiff floor, but does not lack penetrating corneal transplantation either. Treating the transplantation of the cancer cornea with caution as to the other hospitals, Chen Wei knits brows, "utilize the cancer patient's cornea, U.S.A. has spent decades, does not have any sequela, why can't we use? ! " Chen Wei thinks, even can be used by the cornea of the cancer patient of chemotherapy, though chemotherapy will damage cell of cornea, deep stiff layer transplant skill support the cells at the body cornea drive out all. The department of public health of the province: Whether accept the cancer patient's cornea as supporting the body, according to the own requirement of the hospital. The staff reporter telegraphed Ms. Sun Wei who the department of public health of Zhejiang Province was responsible for propagating yesterday. Sun Wei tells reporters whether accept the cancer patient's cornea as supporting the body, according to the own requirement of the hospital. If this hospital does not receive, can look for another hospital liked to receive. A research of U.S.A. experience U.S.A., it is of different whole body malignant tumour to suffer from and support 73 patients of a cornea of body to accepting, follow up a case by regular visits to 127 months on average, evidence does not prove the same malignant tumour will be transferred to any receptor at present. The cornea Yao XiaoMing, director, ophthalmology doctor of inpatient area of ophthalmology hospital of Shenzhen reveals to the staff reporter, 50% of the corneas of this hospital are donated, the death that all come from malignant tumour supports the body. "No matter deep stiff layer transplant skill, or penetrate, transplant skill, we make, according to the needs of condition mainly. " Xiao bright mother Ding JianFen Yao dies September of 2005 because of cancer. Mother Yao writes down in the testament: Donate the cornea to the blind person after death. Shortly after mother Yao passes away, Yao XiaoMing has transplanted mother's cornea to 27 -year-old Jiangxi patients Cao JunRong personally. Cao JunRong suffered from the eyes disease at the age of 12 and nearly lost one's sight, after waiting for long 15 years, saw this world through mother Yao's cornea at last. The reporter knows, " relative taboo card " of the sector standard of Ministry of Public Health " management of eye bank " implemented newly on March 1 this year In the column, appear mention in the medical textbook " malignant tumour especially do radiotherapy or long-term person who treats applied chemistry for a long time " . "The standard of eye bank of the American eye bank, it is the strictest standard in the world, U.S.A. has been doing such an operation. " Yao XiaoMing says. The statistical report of American eye bank of 2009: For the body death reason to compare, will die of supporting the body total number to be 53786 people of disease in 2009 in 2008-2009, 10002 people among them died of cancer, accounts for 18.6% of the total number. Die of disease support body total number 47776 people, die of to have 8913 people cancer among them 2008, accounts for 18.7% of the total number. A research of U.S.A., it is of different whole body malignant tumour to suffer from and support 73 patients of a cornea of body to accepting, follow up a case by regular visits to 127 months on average, evidence does not prove the same malignant tumour will be transferred to any receptor at present. Note: The cornea of tumour patient in this text supports body, excluding the following tumours: Acute leukemia, acute to sow getting scattered lymphoma, mankind have a liking for the intersection of T and the intersection of lymphocyte and the intersection of leukemia and the intersection of virus and I or II type infect, and retinal master cell tumour, malignant tumour,etc. that a section of malignant tumour, eye shifted at the moment.


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