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[支气管哮喘患者肾小球切除术的适应证与禁忌证]

[Indications and contraindications to glomectomy in patients with bronchial asthma].

作者信息

Karashurov E S, Ostrovskiĭ A G, Martíanov S G, Sorokina E V, Putkaradze T A, Karashurov S E, Smirnova N V, Markelov Iu M, Pakhomov V N, Lazarev V N

出版信息

Khirurgiia (Mosk). 1993 Sep(9):36-40; discussion 40-1.

PMID:8283845
Abstract

Thirty-year experience in surgical treatment of more than 3,000 patients with severe and moderately severe bronchial asthma showed that unilateral glomectomy produces a stable positive result in 69.5% of patients in follow-up repiods of two and more decades. Clinical recovery occurred in 23.2% of patients. Immunocorrection methods, such as hemosorption, plasmapheresis, plasmacytopheresis, xenosplenoperfusion, and the use of splenoperfusate raise the efficacy of the operation to 80-90%. The indications and contraindications for glomectomy in patients with bronchial asthma and methods for immunocorrection treatment of patients after glomectomy were developed.

摘要

对3000多名重度和中度重度支气管哮喘患者进行手术治疗的30年经验表明,在长达二十年及以上的随访期内,单侧球囊切除术在69.5%的患者中产生了稳定的阳性结果。23.2%的患者实现了临床康复。免疫纠正方法,如血液吸附、血浆置换、血浆细胞置换、异种脾灌注以及使用脾灌注液,可将手术疗效提高至80%-90%。制定了支气管哮喘患者球囊切除术的适应证和禁忌证,以及球囊切除术后患者的免疫纠正治疗方法。

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