[Slow-flow membrane oxygenation of blood as a method of detoxication in the treatment of patients with abdominal sepsis].

The criteria of efficacy of small-flow membranous oxygenation of the blood were defined and the duration of this measure optimized in the treatment of 30 patients hospitalized at the department for abdominal surgery, Moscow District Research and Clinical Institute, after operations for abdominal diseases and purulent complications thereof performed at hospitals of the Moscow district. Small-flow membranous oxygenation of the blood brought about a trend to normalization of the peripheral blood parameters which were changed as a result of inflammation; it was conducive to normalization of the blood acid-base status and oxygen extraction by tissues, and had an immunostimulating effect in general. The level of medium-weight molecular peptides may be regarded as a criterion of the efficacy of small-flow membranous oxygenation of the blood. With an initial concentration of medium-weight molecules of at least 1 arbitrary unit, the procedure may be as short as just two hours. Under such conditions, small-flow membranous oxygenation of the blood may be considered as a specific detoxifying method.