摘要

Remission in thrombotic thrombocytopenic purpura (TTP) was achieved in two patients after repeated exchange transfusion. Since both patients had renal insufficiency, exchange was performed with hemodialysis. This provided optimal volume control and facilitated the rapid exchange of blood. The infusion of plasma did not maintain the clinical improvement achieved with exchange transfusion. Until a concentrate of the putative factor deficient in TTP becomes available, an exchange procedure remains the most expeditious method for the replacement of any deficient factor. The procedure of hemodialysis can be adapted to perform exchange transfusion safely and efficiently.

译文

两名患者经过反复换血后,血栓性血小板减少性紫癜 (TTP) 获得缓解。由于两个病人都有肾功能不全,所以用血液透析进行交换。这提供了最佳的容量控制和促进血液的快速交换。血浆的输注并不能维持交换输注所取得的临床改善。在 TTP 缺乏的假定因素集中可用之前,交换程序仍然是替代任何缺乏因素的最快捷的方法。血液透析程序可以适应安全有效地进行换血。

Exchange Transfusion

儿科 黄疸治疗 治疗方法
概述  :  

新生儿病理性黄疸是新生儿常见疾病部分,患儿病情严重可并发急性胆红素脑(ABE),甚至遗留核黄疸等严重后遗症。换血疗法可迅速降低患儿血清胆红素水平,是重症高胆红素血症最有效的治疗措施。指征(1)患儿在准备换血的同时先予以光疗4-6 h,若血清总胆红素(TSB)水平未下降或持续上升,或免疫性溶血患儿在光疗后TSB水平下降幅度未达到34-50 mmol/L(2~3 mg/dl),立即予以换血。(2)严重溶血,出生时脐血胆红素>76 mmol/L(4.5 mg/dl),血红蛋白<110 g/L,伴有

exchange  英 /ɪks'tʃeɪndʒ; eks-/  美 /ɪks'tʃendʒ/

       n. 交换;交流;交易所;兑换

vt. 交换;交易;兑换vi. 交换;交易;兑换

       But if you have an idea and I have an idea and we exchange these ideas, then each of us will have two ideas. 如果你有一个思想,我有一个思想,彼此交换,我们每个人都有两个思想,甚至多于两个思想。

 

transfusion  英 /træns'fjuːʒ(ə)n; trɑːns-; -nz-/  美 /trænz'fjʊʒən/

       n. [临床] 输血;[临床] 输液;倾注;灌输

       They might not hemolyze spontaneously in the bottle, but they did not survive after transfusion. 红细胞可能没有自然地使溶解在瓶里,但红细胞在输血后不会生存。

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