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[血浆置换在糖尿病化脓性和脓毒症复杂治疗中的应用]

[Plasmapheresis in the complex treatment of suppurative and septic diseases in diabetes mellitus].

作者信息

Ovchinnikov V A, Slukhaĭ Iu F, Kizhvatova G N

出版信息

Vestn Khir Im I I Grek. 1990 Apr;144(4):81-5.

PMID:2173241
Abstract

Under analysis are data concerned with 21 patients with pyo-septic processes developed against the background of diabetes mellitus. The complex treatment included plasmapheresis. Its efficiency was estimated by the character of elimination of clinico-laboratory symptoms of endotoxemia, degree of correction of blood sugar, nonspecific resistance of the organism and cellular link of immunity. It was established that in most patients discrete plasmapheresis was 1,5-2 times quicker in elimination of intoxication and resulted in successful correction of the leukocyte index of intoxication, blood sugar and alterations in the system of immune homeostasis.

摘要

分析了21例在糖尿病背景下发生脓毒症过程患者的数据。综合治疗包括血浆置换。通过内毒素血症临床实验室症状的消除特征、血糖校正程度、机体非特异性抵抗力及免疫细胞环节来评估其疗效。结果表明,在大多数患者中,单次血浆置换消除中毒的速度快1.5至2倍,并成功校正了中毒的白细胞指数、血糖及免疫稳态系统的改变。

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