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[体外解毒(血液吸附、血浆置换和血浆交换)在溶血性疾病强化治疗中的应用]

[Extracorporeal detoxification (hemosorption, plasmapheresis and plasma exchange) in the intensive therapy of hemolytic disorders].

作者信息

Starikov A V, Romanova A F, Beschastnaia S P, Belaia T I

出版信息

Anesteziol Reanimatol. 1990 Jul-Aug(4):16-7.

PMID:2077958
Abstract

Extracorporeal detoxication techniques (hemosorption, plasmapheresis and plasma exchange) were used in a complex therapy of 55 patients with hemolytic disorders of different etiology. The results of clinical and laboratory studies confirm the efficacy of plasmapheresis. Skin surfaces and mucosa became less icteric, the size of the spleen and liver diminished, the levels of free hemoglobin, bilirubin and circulating immune complexes decreased, blood toxicity reduced. Unlike hemosorption, plasmapheresis and plasma exchange had no unfavourable effects on blood cells.

摘要

体外解毒技术(血液吸附、血浆置换和血浆交换)被用于55例不同病因溶血性疾病患者的综合治疗中。临床和实验室研究结果证实了血浆置换的有效性。皮肤表面和黏膜黄疸减轻,脾脏和肝脏体积缩小,游离血红蛋白、胆红素和循环免疫复合物水平降低,血液毒性减轻。与血液吸附不同,血浆置换和血浆交换对血细胞没有不良影响。

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