Stroke and gangrene: complications of therapeutic plasma exchange therapy.

N J Doll, J E Salvaggio
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引用次数: 8

Abstract

Two patients underwent therapeutic plasma exchange therapy. One patient with advanced rheumatoid arthritis developed a stroke after his fifth exchange. The other patient, with progressive systemic sclerosis, required a below the knee amputation secondary to shunt problems. These cases are presented to caution physicians in selecting patients for pheresis procedures and suggest that major complications can occur with this technique.

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脑卒中和坏疽:血浆交换治疗的并发症。
2例患者接受治疗性血浆交换治疗。一位患有晚期类风湿关节炎的患者在第五次换药后中风。另一名患者,进行性系统性硬化症,继发于分流问题,需要膝关节以下截肢。这些病例提示医生在选择患者进行体外循环手术时应谨慎,并提示该技术可能出现主要并发症。
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