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尽管类风湿性关节炎的治疗方法近来有进步,但仍然是一种难以治愈的疾病。作者报告用血浆交换疗法(plasmapheresis)治疗类风湿性关节炎,收到了显著疗效。本疗法原是为了清除血浆中的抗体、抗原抗体复合物及血浆高粘稠度等目的而使用的。所以,最初只限于治疗巨球蛋白血症(macroglobulinemia)、超粘性综合症(hyperviscosity syndrome)等所谓异型蛋白血症(paraproteinemia)。最近发现,本法可作为一种免疫疗法以治疗其他疾病。作者自1978年用血浆交换疗法治疗25例胶原病和类风湿性关节炎为主的7种疾病。其方法:1日交换1公升,连续8天,或1日交换1.5公升,连续5天
Despite recent advances in the treatment of rheumatoid arthritis, it remains a formidable disease. The authors report that treatment of rheumatoid arthritis with plasmapheresis has received significant efficacy. The therapy was originally used to remove plasma antibodies, antigen-antibody complexes and high plasma viscosity purposes. Therefore, initially, it is limited to the so-called paraproteinemia such as macroglobulinemia and hyperviscosity syndrome. It has recently been found that this Act can be used as an immunotherapy to treat other diseases. The authors treated 25 cases of collagen disease and rheumatoid arthritis-based 7 diseases with plasma exchange therapy in 1978. The method: exchange 1 liter on the 1st, for 8 consecutive days, or exchange 1.5 liters on the 1st for 5 consecutive days