神经系统疾病患者血浆置换的并发症。
Complications of plasma exchange in patients with neurological diseases.
作者信息
Henze T, Prange H W, Talartschik J, Rumpf K W
机构信息
Abteilung für Neurologie, Georg-August-Universität, Göttingen.
出版信息
Klin Wochenschr. 1990 Dec 4;68(23):1183-8. doi: 10.1007/BF01815277.
Abstract
Plasma exchange has proven to be effective in diseases of established or presumed autoimmune etiology as well as in hyperviscosity syndromes and some rare metabolic disorders. Its application is thought to be relatively safe; nevertheless, severe complications may occur. We therefore analyzed the complications of 291 exchanges in 39 patients with neurological diseases. Minor complications developed in 4.8% and major complications in 2.7% of procedures, including one death. Severe infections and technical problems have been the most serious side effects, sometimes followed by organ failure or even death.
摘要
血浆置换已被证明对已确诊或疑似自身免疫性病因的疾病、高粘滞综合征及某些罕见代谢紊乱有效。其应用被认为相对安全；然而，仍可能发生严重并发症。因此，我们分析了39例神经系统疾病患者291次血浆置换的并发症。在4.8%的操作中出现轻微并发症，2.7%出现严重并发症，包括1例死亡。严重感染和技术问题一直是最严重的副作用，有时还会继发器官衰竭甚至死亡。
相似文献
1
Complications of plasma exchange in patients with neurological diseases.神经系统疾病患者血浆置换的并发症。
Klin Wochenschr. 1990 Dec 4;68(23):1183-8. doi: 10.1007/BF01815277.
2
Plasma exchange in neurological diseases. A critical approach.神经疾病中的血浆置换。一种批判性方法。
Vox Sang. 1983;44(2):65-80. doi: 10.1111/j.1423-0410.1983.tb04105.x.
3
Plasma exchange in neurological diseases.神经疾病中的血浆置换
Br Med J (Clin Res Ed). 1987 Aug 1;295(6593):283-4. doi: 10.1136/bmj.295.6593.283.
4
[Therapeutic plasma exchange for neuroimmunological disorders].[用于神经免疫性疾病的治疗性血浆置换]
No To Shinkei. 1993 Oct;45(10):925-32.
5
Hyperchloremic metabolic acidosis following plasma exchange during myasthenia gravis crisis.重症肌无力危象血浆置换后高氯性代谢性酸中毒
J Clin Apher. 2016 Oct;31(5):479-80. doi: 10.1002/jca.21432. Epub 2015 Sep 22.
6
[Plasma exchange in the treatment of patients with immunoneurologic disorders].
Vojnosanit Pregl. 1990 Sep-Oct;47(5):348-51.
7
Plasma-exchange in neurological diseases.神经系统疾病中的血浆置换
Ric Clin Lab. 1983 Jan-Mar;13(1):75-84. doi: 10.1007/BF02904748.
8
Evidence-based review of therapeutic plasma exchange in neurological disorders.神经系统疾病治疗性血浆置换的循证综述
Semin Dial. 2012 Mar-Apr;25(2):132-9. doi: 10.1111/j.1525-139X.2011.01023.x. Epub 2012 Jan 25.
9
Complications of plasma exchange in neurological patients.神经系统疾病患者血浆置换的并发症
Arch Neurol. 1982 Jun;39(6):350-4. doi: 10.1001/archneur.1982.00510180028007.
10
Neurologic indications for therapeutic plasma exchange: 2011 update.治疗性血浆置换的神经科适应证：2011年更新版
J Clin Apher. 2012;27(3):138-45. doi: 10.1002/jca.21219. Epub 2012 Apr 23.
引用本文的文献
1
Therapeutic Plasma Exchange in Patients with Neurologic Disorders: Review of 63 Cases.神经系统疾病患者的治疗性血浆置换：63例病例回顾
Indian J Hematol Blood Transfus. 2017 Mar;33(1):97-105. doi: 10.1007/s12288-016-0661-3. Epub 2016 Feb 22.
2
Updates on clinically isolated syndrome and diagnostic criteria for multiple sclerosis.临床孤立综合征及多发性硬化诊断标准的最新进展。
Neurohospitalist. 2013 Apr;3(2):65-80. doi: 10.1177/1941874412457183.
3
Management of acute exacerbations in multiple sclerosis.多发性硬化急性加重期的管理。
Ann Indian Acad Neurol. 2009 Oct;12(4):264-72. doi: 10.4103/0972-2327.58283.
4
Successful treatment of propafenone, digoxin and warfarin overdosage with plasma exchange therapy and rifampicin.采用血浆置换疗法和利福平成功治疗普罗帕酮、地高辛和华法林过量中毒。
Clin Drug Investig. 2007;27(7):505-8. doi: 10.2165/00044011-200727070-00008.
5
Juvenile myasthenia: diagnosis and treatment.青少年型重症肌无力：诊断与治疗
Paediatr Drugs. 2000 May-Jun;2(3):161-9. doi: 10.2165/00128072-200002030-00001.
6
Guillain-Barré syndrome in pregnancy--two case reports and a discussion on management.
Arch Gynecol Obstet. 1995;256(4):199-203. doi: 10.1007/BF00634492.
本文引用的文献
1
Infectious complications with plasmapheresis in rapidly progressive glomerulonephritis.
JAMA. 1980 Nov 28;244(21):2423-6.
2
Complications of plasma exchange in neurological patients.神经系统疾病患者血浆置换的并发症
Arch Neurol. 1982 Jun;39(6):350-4. doi: 10.1001/archneur.1982.00510180028007.
3
The complications of therapeutic plasma exchange.治疗性血浆置换的并发症。
Vox Sang. 1984;46(5):270-6. doi: 10.1111/j.1423-0410.1984.tb00086.x.
4
Therapeutic plasma exchange.治疗性血浆置换
N Engl J Med. 1984 Mar 22;310(12):762-71. doi: 10.1056/NEJM198403223101206.
5
Plasmapheresis and acute Guillain-Barré syndrome. The Guillain-Barré syndrome Study Group.血浆置换与急性吉兰-巴雷综合征。吉兰-巴雷综合征研究组。
Neurology. 1985 Aug;35(8):1096-104.
6
Complications during therapeutic plasma exchange.治疗性血浆置换期间的并发症。
Acute Care. 1985;11(2):100-5.
7
[Autonomic nervous system functional disorders in acute Guillain-Barré-Strohl polyradiculitis].[急性吉兰 - 巴雷 - 施特罗尔多神经根炎中的自主神经系统功能障碍]
Dtsch Med Wochenschr. 1986 Jul 4;111(27):1050-4. doi: 10.1055/s-2008-1068581.
8
[Pathophysiological aspects and clinical indications for plasma exchange treatment].[血浆置换治疗的病理生理方面及临床适应证]
Schweiz Med Wochenschr. 1987 Jul 25;117(30):1140-51.
9
Transmission of HIV and AIDS by plasmapheresis for Guillain-Barré syndrome.通过血浆置换治疗格林-巴利综合征导致的HIV和艾滋病传播。
Clin Neurol Neurosurg. 1988;90(3):235-6. doi: 10.1016/0303-8467(88)90027-3.
10
Complications of plasma exchange.血浆置换的并发症。
Transfusion. 1989 Feb;29(2):124-7. doi: 10.1046/j.1537-2995.1989.29289146829.x.
Zotero 插件