Section of Critical Care Medicine, Department of Pediatrics, Baylor College of Medicine/Texas Children's Hospital, Houston, TX 77030, USA.
Crit Care Clin. 2012 Jul;28(3):453-68, vii. doi: 10.1016/j.ccc.2012.04.009.
In this article, the authors review the current recommendations from the American Society for Apheresis regarding the use of plasmapheresis in many of the diseases that intensivists commonly encounter in critically ill patients. Recent experience indicates that therapeutic plasma exchange may be useful in a wide spectrum of illnesses characterized by microvascular thrombosis, the presence of autoantibodies, immune activation with dysregulation of immune response, and some infections.
在这篇文章中,作者回顾了美国血浆分离协会目前关于在危重病患者中常见的许多疾病中使用血浆置换的建议。最近的经验表明,治疗性血浆置换可能对广泛的疾病有用,这些疾病的特点是微血管血栓形成、自身抗体存在、免疫激活伴免疫反应失调,以及一些感染。