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Terapevtske plazmafereze v 10-letnem obdobju = Therapeutic plasmapheresis in a ten year periodMajcen-Vivod, BožislavaIzhodišča. Terapevtske plazmafereze se izvajajo na celičnih ločevalcih oziroma separatorjih. Bolniku se pri postopku odstrani plazma, medtem ko se rdeče krvničke vrnejo skupaj z nadomestno tekočino. ... Terapevtske plazmafereze so učinkoviti postopki zdravljenja pri številnih hematoloških, nevroloških, ledvičnih, revmatoloških in metaboličnih motnjah. Trombotična trombocitopenična purpura (TTP) je hematološko obolenje, pri katerem je izmenjava plazme učinkovita metoda zdravljenja. Metode. V našem centru terapevtske plazmafereze izvajamo na celičnih ločevalcih proizvajalca Haemonetics. Kot nadomestno tekočino uporabljamo SZP (sveže zmrznjeno plazmo) ali 5 % albumin. Rezultati. V desetletnem obdobju od leta 2000 do 2009 smo opravili 133 plazmaferez pri 33 bolnikih, 9 bolnikov je bilo zdravljenih zaradi TTP, ostali pa so imeli različna nevrološka ali druga hematološka obolenja. 3 bolnice so bile uspešno zdravljenje zaradi TTP. Zaključek. S postopki terapevtske plazmafereze uspešno zdravimo bolezni kot so TTP, nevrološke bolezni kot myastenia gravis, akutna demielinizacijska polinevropatija. Na splošno zamenjamo 1-1,5 volumna plazme med enim postopkom. Pri TTP postopke ponavljamo dnevno do porasta števila trombocitov nad 150, 109 ali dokler vrednost LDH ne pade na normalno vrednost.Source: Varnost in kakovost v transfuzijski medicini : včeraj, danes, jutri (Str. 173-185)Type of material - conference contribution ; adult, seriousPublish date - 2010Language - slovenianCOBISS.SI-ID - 3634495
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