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[下肢严重缺血的联合强化治疗方案]

[A program of combined intensive therapy in critical ischemia of the lower extremities].

作者信息

Nikolaev E K, Makarova N P, Zhuravleva T A

出版信息

Anesteziol Reanimatol. 1995 Nov-Dec(6):52-4.

PMID:8713422
Abstract

Ultraviolet irradiation (UVI) of the blood, adsorption methods of detoxication, hyperbaric oxygenation (HBO), and antioxidant therapy are pathogenetic and etiotropic methods of treatment in multiple-modality conservative therapy of patients with ischemia of the lower limbs. The EKROMI UVI method is rapid and no less effective then the traditional exposure of the blood after Knott. Enterosorption (ES) may replace hemosorption (HS) in lower limb ischemia with good effect; noteworthy that it is a safer method of detoxication. Addition of antihypoxants and antioxidants (AO) to therapeutic complexes administered before HBO improved the efficacy of this procedure. Use of the UVI-HS(ES)-AO-HBO-HS(ES)-UVI scheme for intensive care for obliterating diseases of the arteries levels the shortcomings of each of the methods of the complex and potentiates the efficacy of each of them.

摘要

血液紫外线照射(UVI)、解毒吸附法、高压氧疗(HBO)和抗氧化疗法是下肢缺血患者多模式保守治疗中的病因性和病原性治疗方法。EKROMI UVI方法快速且效果不低于Knott法传统的血液照射。在下肢缺血中,肠吸附(ES)可替代血液吸附(HS)且效果良好;值得注意的是,它是一种更安全的解毒方法。在HBO治疗前给予的治疗组合中添加抗缺氧剂和抗氧化剂(AO)可提高该治疗程序的疗效。采用UVI-HS(ES)-AO-HBO-HS(ES)-UVI方案对动脉闭塞性疾病进行重症监护,可弥补综合治疗中各方法的不足并增强其疗效。

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Anesteziol Reanimatol. 1995 Nov-Dec(6):52-4.
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