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[血浆置换在重症肺脓肿和坏疽联合治疗中的应用]

[Plasmapheresis in combined treatment of severe forms of abscesses and gangrene of the lungs].

作者信息

Shoĭkhet Ia N, Barkagan Z S, Martynenko V A, Roshchev I P, Bondarenko I G, Shuster L V

出版信息

Klin Med (Mosk). 1989 Sep;67(9):32-5.

PMID:2586036
Abstract

With an adjuvant course of plasmapheresis, a combined treatment of severe acute abscesses and gangrene of the lungs brought about a marked short-term clinical response in 48 out of 50 treated patients. The responders had their temperature returned to normal, amount of sputum significantly reduced. They recovered good appetite and gained weight. There was also attenuation of DIC syndrome and endotheliosis, improvement of cellular and humoral immunity. Upon the discharge 35 patients had complete or partial response, 10 patients developed a chronic process. Lethal outcomes reached 10%.

摘要

通过辅助性血浆置换疗程,对50例重症急性肺脓肿和坏疽患者进行联合治疗,其中48例患者出现了明显的短期临床反应。有反应的患者体温恢复正常,痰液量显著减少。他们食欲恢复良好且体重增加。弥散性血管内凝血综合征和血管内皮病变也有所减轻,细胞免疫和体液免疫得到改善。出院时,35例患者有完全或部分反应,10例患者发展为慢性病程。致死率达10%。

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