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[弥漫性化脓性腹膜炎体外解毒方法的选择]

[The choice of the method for extracorporeal detoxication in diffuse suppurative peritonitis].

作者信息

Neĭmark M I, Rogachevskiĭ P A

出版信息

Vestn Khir Im I I Grek. 1994 May-Jun;152(5-6):27-33.

PMID:7740680
Abstract

The authors have made the comparative assessment of effectiveness of application of plasmapheresis, hemosplenosorbtion and combination of discrete plasmapheresis with subsequent perfusion of the formed elements of blood through the xenospleen in patients with diffuse peritonitis in the toxic and terminal phases in early postoperative period. It is indicated: performing of the combined afferent therapy--discrete plasmapheresis with subsequent free perfusion of formed elements of blood through the xenospleen increases the effectiveness of surgical treatment of the diffuse peritonitis in toxic and terminal phases due to more prominent immunomodulating and detoxicative effects than isolated application of each of methods.

摘要

作者对血浆置换、血液脾脏吸附以及在术后早期中毒和终末期弥漫性腹膜炎患者中进行间断血浆置换并随后通过异种脾脏灌注血液有形成分的联合应用效果进行了比较评估。结果表明:实施联合传入疗法——间断血浆置换并随后通过异种脾脏自由灌注血液有形成分,由于其比单独应用每种方法具有更显著的免疫调节和解毒作用,提高了中毒和终末期弥漫性腹膜炎手术治疗的效果。

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