以离心机为基础的治疗性血交换相关的症状和并发症 - - 追溯审查
David Warner1, Heather Duncan2, Prakash Gudsoorkar2
1University of Cincinnati College of Medicine, Cincinnati, OH, US.
BMC nephrology
|February 19, 2025
概括
治疗性血交换 (TPE) 通过去除血成分来治疗各种疾病. 这项研究强调了其在移植和神经疾病中的应用,并指出了常见的并发症和进一步研究的需要.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 神经学 神经学
- 免疫学 免疫学 免疫学
背景情况:
- 治疗性血交换 (TPE) 是一种外体程序,用于管理涉及血缺乏,自身抗体,合抗体,毒素和免疫复合体的疾病.
- 这项研究回顾了TPE利用和在高等学术中心的结果.
研究的目的:
- 描述治疗性血交换 (TPE) 对各种疾病和相关并发症的经验.
- 评估科医生在TPE管理中的作用.
主要方法:
- 基于离心机的TPE的回顾性,单中心审查.
- 从2018年7月到2022年6月收集的数据,包括145名患者的1219次TPE治疗.
主要成果:
- 常见的适应症包括移植的抗体中介排斥 (AMR) (20%),自身免疫性脑炎 (16%),和光学神经omyelitis (11%).
- 最常见的并发症是衰竭凝血病 (47.6%),低血 (44.1%) 和低血 (36.6%).
- 科医生对31.7%的患者进行了TPE治疗,其中18.7%的患者接受了TPE治疗,其作用尚未确定.
结论:
- 治疗性血交换 (TPE) 对各种脏和非脏疾病有效.
- 对于TPE在未确定的角色的条件下使用需要进一步的研究.
- 科培训应包括TPE教育,因为它在科管理条件中的重要用途.
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