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The role of the plasmapheresis in the treatment of patients with acute intestinal ileus

Dzhanelidze, D.M.

Georgian Medical News 137: 7-9

2006

ISSN/ISBN: 1512-0112
PMID: 16980731
Document Number: 601328
Efficiency of the extracorporal detoxication method such as plasmapheresis in the complex treatment of acute intestinal ileus has been studied. 52 patients with acute intestinal ileus of various etiology were investigated. Clinical data such as nausea, vomiting, mouth dryness, body temperature, lessening of sounding of peristaltic or its absence, heart rate, short breath, presence of encephalopathy, lowering of diuresis, quantity of excretion at Miller-Ebbot sounding were used as the criteria of detoxication efficiency of plasmapheresis. For the estimation of efficiency of plasmapheresis by laboratory investigations the following data were determined: toxicity of blood plasma up to plasmapheresis and after carrying it according to the parametion test, leucocyte index, molecular composition of average blood mass. After plasmapheresis all indices of plasma toxicity had positive changes. Likewise positive changes were observed in clinical indices of intoxication. All the above stated enables us to evaluate plasmapheresis as a highly efficient method of extra-corporal detoxication, which may be successfully used during complex treatment of acute intestinal ileus.

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