ЭКСТРАКОРПОРАЛЬНОЕ ОЧИЩЕНИЕ КРОВИ ПРИ СЕПСИСЕ: СОВРЕМЕННОЕ СОСТОЯНИЕ ВОПРОСА

  • Р. Э. Якубцевич УО "Гродненский государственный медицинский университет"
Ключевые слова: сепсис, синдром полиорганной дисфункции, острые деструктивные панкреатиты, гемосорбция, плазмаферез, плазмафильтрация, продленные методы почечно-заместительной терапии, продленная вено-венозная гемофильтрация, продленная вено-венозная гемодиафильтра

Аннотация

В представленном обзоре литературы анализируются современные подходы к использованию методов экстракорпорального очищения крови в интенсивной терапии сепсиса. Анализу подвергнуты наиболее распространенные методики: гемосорбция, плазмаферез, продленная вено-венозная гемофильтрация и гемодиафильтрация, экстракорпоральная поддержка печени. Показано, что проведение экстракорпорального очищения крови при сепсисе, с позиции доказательной медицины – эффективное направление в лечении септических пациентов самого разного профиля и степени тяжести. Методиками с наибольшей доказательной базой в комплексном лечении пациентов с сепсисом стали продленные методы почечно-заместительной терапии, а также гемоперфузия через селективные гемосорбенты. Использование экстракорпорального очищения крови при сепсисе позволяет уменьшить летальность пациентов с самой разной степенью тяжести исходного состояния

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2017-07-27
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Якубцевич РЭ. ЭКСТРАКОРПОРАЛЬНОЕ ОЧИЩЕНИЕ КРОВИ ПРИ СЕПСИСЕ: СОВРЕМЕННОЕ СОСТОЯНИЕ ВОПРОСА. Журнал ГрГМУ (Journal GrSMU) [Интернет]. 27 июль 2017 г. [цитируется по 24 апрель 2024 г.];15(2):131-6. доступно на: http://journal-grsmu.by/index.php/ojs/article/view/2083

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