Radchenko V G
Lik Sprava. 1995 May-Jun(5-6):160-3.
Effectiveness of plasmapheresis in a combined treatment of 46 patients with chronic cholestatic hepatitis and 30 with primary biliary cirrhosis of the liver was studied. Gratifying therapeutic results from plasmapheresis were achieved in 62 patients (81.5%). Time-related clinical manifestations of the illness, biochemical and immunological indices in the early post-plasmapheresis period were different in the groups studied. The mechanisms of therapeutic effect of plasmapheresis in patients with chronic cholestatic diseases of the liver were found to be chiefly due to its immunocorrective action, elimination of toxic products, returning to normal of rheological parameters of blood.
研究了血浆置换术联合治疗46例慢性胆汁淤积性肝炎患者和30例原发性胆汁性肝硬化患者的有效性。62例患者(81.5%)通过血浆置换术取得了令人满意的治疗效果。所研究的各组患者在血浆置换术后早期,疾病的时间相关临床表现、生化和免疫指标有所不同。发现血浆置换术对慢性肝脏胆汁淤积性疾病患者的治疗作用机制主要归因于其免疫纠正作用、清除毒性产物以及使血液流变学参数恢复正常。