Isbister J P
Med J Aust. 1979 Aug 25;2(4):167-73. doi: 10.5694/j.1326-5377.1979.tb142022.x.
The technique of, and indications for, plasma exchange are presented. This selective form of plasma removal has re-established "blood-letting" in medical therapeutics on a scientific basis. It is the most appropriate therapy when hyperviscosity or haemostatic failure complicate immunoproliferative disease. Plasma exchange is also a significant advance in the management of fulminant forms of autoimmune disease, but in many other conditions it must be regarded as experimental.
本文介绍了血浆置换的技术及适应证。这种选择性的血浆去除方式在科学基础上重新确立了医学治疗中的“放血疗法”。当免疫增殖性疾病并发高黏滞血症或止血功能衰竭时,它是最合适的治疗方法。血浆置换在暴发性自身免疫性疾病的治疗中也是一项重大进展,但在许多其他情况下,它仍被视为试验性治疗。