Matiash V I
Lik Sprava. 1997 Mar-Apr(2):105-7.
In severe course of icterohemorrhagic form leptospirosis presenting with an acute renal-hepatic insufficiency and manifest hypocoagulation (BC II-III), plasmasorption on the sorbent SKN [correction of CKH] IK with carboperfusion of 0.8-1.2 1 plasma appears to be warranted. Being endowed with an apparent detoxicating effect at the expense of absorbtion of creatinin, urea bilirubin, this manipulation, with small doses of heparin, promotes also stabilization of hemostasis and arresting of hypocoagulation, which fact enhances appreciably the compensatory power of the organism improving the prognosis of the condition.
在伴有急性肝肾功能不全及明显低凝(BC II - III)的出血性黄疸型钩端螺旋体病重症病程中,采用吸附剂SKN[CKH的校正]IK进行血浆吸附并灌注0.8 - 1.2升血浆似乎是必要的。这种操作通过吸附肌酐、尿素、胆红素而具有明显的解毒作用,同时小剂量肝素的使用还能促进止血稳定并阻止低凝状态,这一事实显著增强了机体的代偿能力,改善了病情预后。