Neubauer R L, Morris G G
Alaska Med. 1990 Oct-Dec;32(4):138-40.
This report summarizes the first year of experience with therapeutic plasmapheresis at Human Hospital-Alaska. Eleven patients had plasmapheresis; 6 patients with the Guillain-Barré syndrome, and patients with thrombotic thrombocytopenic purpura (TTP), Eaton-Lambert syndrome, myasthenia gravis, post transfusion purpura, and multiple myeloma complicated by hyperviscosity and coagulopathy. Many of our patients appeared to benefit from plasmapheresis, but we also report a variety of complications. Our approach to establishing plasmapheresis in a community hospital setting is discussed.
本报告总结了阿拉斯加人类医院进行治疗性血浆置换的第一年经验。11名患者接受了血浆置换;其中6名患有吉兰 - 巴雷综合征,还有患有血栓性血小板减少性紫癜(TTP)、伊顿 - 兰伯特综合征、重症肌无力、输血后紫癜以及并发高粘滞血症和凝血病的多发性骨髓瘤的患者。我们的许多患者似乎从血浆置换中获益,但我们也报告了各种并发症。本文讨论了我们在社区医院环境中建立血浆置换治疗的方法。