Maresca M C, Da Porto A, Cusumano S, Serena M
Services de Néphrologie et de Neurologie, Hôpital de Trévise, Italie.
Ann Med Interne (Paris). 1988;139 Suppl 1:69-71.
The results of plasma perfusion through immunoabsorbent columns were assessed in neuroimmunological conditions. The method is a modified plasmapheresis. The plasma is passed through a column of polyvinyl alcohol gel bound with phenylalanine. Three patients were treated by this method (two with acute polyneuropathies due to the Guillain-Barré syndrome, and the third with a polyneuropathy related to Hepatitis A). Each patient underwent 3 sessions, on alternate days for a six day period, with perfusion of 6-6.5 1 of plasma. No adverse effects were observed during treatment or changes in PAO values. Serum Na+-K+-Cl-Ca++-Gluc-Tot Prot-Alb-RBC-WBC-Hb-Urea and Creatinine were constant. Complete remission of the peripheral symptoms of the patients with the Guillain-Barré syndrome was observed whilst the third patient had a partial remission (in the left arm). These observations suggest that this method may be of therapeutic value in patients with acute polyneuropathy due to the Guillain-Barré syndrome.
通过免疫吸附柱进行血浆灌注的结果在神经免疫疾病中进行了评估。该方法是一种改良的血浆置换术。血浆通过与苯丙氨酸结合的聚乙烯醇凝胶柱。三名患者接受了该方法治疗(两名患有吉兰-巴雷综合征所致急性多发性神经病,第三名患有与甲型肝炎相关的多发性神经病)。每位患者进行3次治疗,在6天内隔天进行,每次灌注6 - 6.5升血浆。治疗期间未观察到不良反应或动脉血氧分压(PAO)值的变化。血清钠、钾、氯、钙、葡萄糖、总蛋白、白蛋白、红细胞、白细胞、血红蛋白、尿素和肌酐保持稳定。观察到吉兰-巴雷综合征患者的周围症状完全缓解,而第三名患者部分缓解(左臂)。这些观察结果表明,该方法可能对吉兰-巴雷综合征所致急性多发性神经病患者具有治疗价值。