De Silva H J, Gamage R, Herath H K, Karunanayake M G, Peiris J B
Institute of Neurology, General Hospital, Colombo, Sri Lanka.
Postgrad Med J. 1987 Dec;63(746):1079-81. doi: 10.1136/pgmj.63.746.1079.
Six patients with the Guillain-Barré syndrome were treated by modified plasma exchange. Five of them showed a rapid improvement which was not consistent with the natural history of the disease. The improvement was assessed by monitoring vital capacity and muscle power, grading the ability to perform motor functions and by the duration of the hospital stay. The method of plasma exchange we used was simpler and cheaper than the conventional method. We recommend the use of our method, especially in developing countries with financial constraints and poor facilities.
6例吉兰-巴雷综合征患者接受了改良血浆置换治疗。其中5例病情迅速改善,这与该疾病的自然病程不符。通过监测肺活量和肌肉力量、对运动功能执行能力进行分级以及根据住院时间来评估改善情况。我们所采用的血浆置换方法比传统方法更简便、更便宜。我们推荐使用我们的方法,尤其是在经济拮据且设施简陋的发展中国家。