Höcker P, Pittermann E
Wien Klin Wochenschr. 1985 Feb 1;97(3):115-22.
Plasma exchange (PE) is the treatment of choice in emergencies arising in patients suffering from the hyperviscosity syndrome, factor VIII antibody haemophilia, autoimmune haemolytic anaemia or post-transfusion purpura. Apart from these clear indications, the efficacy of PE in other hematological disorders such as thrombotic thrombocytopenic purpura, immune thrombocytopenia, cryoglobulinaemia, rhesus incompatibility, autoimmune cytopenia and AB0 incompatibility with bone-marrow transplantation is less well defined. In such disorders PE can be performed when conventional treatment has failed.
血浆置换(PE)是治疗高黏滞综合征、因子VIII抗体血友病、自身免疫性溶血性贫血或输血后紫癜患者出现的紧急情况的首选治疗方法。除了这些明确的适应症外,PE在其他血液系统疾病中的疗效,如血栓性血小板减少性紫癜、免疫性血小板减少症、冷球蛋白血症、恒河猴血型不相容、自身免疫性血细胞减少症以及骨髓移植中的AB0血型不相容,尚不太明确。在这些疾病中,当传统治疗失败时可进行PE治疗。