Exchange transfusion with plasmapheresis in the management of hepatic coma.

M Jesipowicz, M Jakubowska, J Karski, K Osterowa
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Abstract

In two cases of hepatic coma following advanced liver cirrhosis exchange transfusions were applied with plasmapheresis. In both cases the general condition of patients improved and consciousness returned. After exchange transfusions with plasmapheresis the serum levels of bilirubin, urea and ammonia decreased. Using appropriately selected fluids for erythrocyte suspension it is possible to affect selectively protein depletion and depletion of plasma blood clotting factors.

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血浆置换换血治疗肝性昏迷。
在2例晚期肝硬化后肝昏迷患者中,置换输血应用血浆置换术。在这两种情况下,患者的一般情况有所改善,意识恢复。血浆置换后血清胆红素、尿素和氨水平降低。使用适当选择的液体用于红细胞悬浮液,可以选择性地影响蛋白质消耗和血浆凝血因子的消耗。
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