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随机将 2 7例病人分为对照组、治疗组 ,治疗组对血浆置换方法进行改进 ,先输注去白细胞红细胞悬液 1U及新鲜同型血浆 40 0ml ,然后行血浆置换 ,放出少于输入量 (约 10 0ml)患者血液置 4℃冰箱中 ,让其自然沉淀 ,下次置换前弃去血浆 ,余下血液有形成份洗涤后输注 ,再少量放血及输同型血浆 40 0ml ,对照组使用血浆交换仪 ,中空纤维膜型血浆分离器 ,行血浆置换 ,每次置换血浆量 2 0 0 0~ 40 0 0ml。结果表明 ,血浆置换治疗重型肝炎有效 ,少量多次同型血浆置换更安全、经济。
Twenty-seven patients were randomly divided into control group, treatment group and treatment group. The plasma exchange method was improved by first transfusion of 1U of leukocyte erythrocyte suspension and fresh homogenate plasma of 40 0ml, followed by plasma exchange and release less than the input amount About 10 0ml) patient blood set 4 ℃ refrigerator, let it precipitate naturally, discard the plasma before the next replacement, the remaining blood visible ingredients washing after infusion, and then a small amount of bleeding and lose the same type of plasma 40 0ml, the control group using plasma exchangers , Hollow fiber membrane type plasma separator, plasma exchange, each replacement of plasma volume 200 ~ 40 0 0ml. The results show that the plasma exchange treatment of severe hepatitis effectively, a small number of multiple homologous plasma exchange more secure and economical.