Prier A, Merlet C, Koeger A C, Camus J P
Sem Hop. 1983 Apr 21;59(16):1231-6.
Plasma exchange, used since 1979 in the treatment of severe rheumatoid arthritis, has been the subject of numerous publications in the recent years. According to data from a review of the literature and from our personal experience, this therapy cannot be advocated in the usual forms of rheumatoid arthritis. Because of the side-effects, the complicated technical equipment required and the short duration of therapeutic results, plasma exchange should, for the time being, be restricted to malignant forms of rheumatoid arthritis, polyvisceral exacerbations in lupus and scleroderma, and hyperviscosity syndromes in globulinopathies.
血浆置换自1979年起用于治疗重度类风湿性关节炎，近年来已有大量相关文献发表。根据文献综述数据及我们的个人经验，这种疗法不适用于类风湿性关节炎的常见类型。由于存在副作用、所需技术设备复杂以及治疗效果持续时间短等原因，目前血浆置换应仅限于类风湿性关节炎的恶性形式、狼疮和硬皮病的多脏器加重以及球蛋白病中的高黏滞综合征。
