【摘要】 目的探讨自体血浆免疫吸附(Plasma immunoadsorption,IA)治疗重症肌无力(Myasthenia Gravis,MG)疾病的疗效及护理方法。方法9例确诊为重症肌无力疾病患者接受内科治疗的同时采用自体血浆免疫吸附治疗,根据病情确定治疗次数,共治疗21例次;治疗前后观察患者肌力、呼吸、吞咽等情况,记录治疗中的不良反应。结果9例患者经治疗后四肢肌力及吞咽困难改善,好转出院;其中1例出现呼吸肌麻痹需呼吸机辅助通气患者,实施2次治疗后脱离呼吸机,生活自理。结论血浆免疫吸附疗法是治疗重症肌无力疾病的有效方法,这种治疗既可避免输入异体血浆、蛋白对人体的不良反应,为血源不足的血库减轻极大的负担,且操作简便,副作用少。更多还原

【Abstract】 Objective To investigate the effectiveness and nursing methods of treating myasthenia gravis patients with plasma immunoad sorption. Methods 9 myasthenia gravis patients were treated with plasma immunoadsorption 21 times besides heal with drugs. The fre quency of treatment was decided by disease process. The myodynamia, breath and deglutition of patients were recorded before and after treatment. Adverse reaction was recorded during the period of treatment. Results Myodynamia of four limbs and dysphagia of 9 patients took a turn for the better after treated with plasma immunoadsorption. 1 patient who suffered from respiratory muscular paralysis and needed respirator to assist ventilation was cured after 2 times of plasma immunoadsorption. Conclusion Plasma immunoadsorption was an effective therapeutic method to cure myasthenia gravis. This method avoided adverse reaction of inputting plasma or albumen, re duced the heavy burdens of blood bank which lacking blood source, was easy to operate and had few side effects.更多还原