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目的观察自体血浆与异体血浆治疗肺心病的疗效。方法在常规的治疗基础上给自体静脉血分离红细胞后回输及异体新鲜血浆输注,并监测输入血浆前后红细胞压积、血红蛋白浓度、肺动脉压力值及血浆蛋白浓度的变化。结果所有患者均有不同程度的红细胞压积下降、血红蛋白浓度下降、肺动脉压力值减低及血浆蛋白浓度的上升,心功能改善。结论自体血浆联合异体血浆输注治疗老年性肺心病方法简单易行,增加常规药物的治疗效果,临床疗效显著,减少疾病复发,远期效果好。
Objective To observe the curative effect of autologous plasma and allogeneic plasma on pulmonary heart disease. Methods On the basis of routine treatment, red blood cells were separated from autologous venous blood and transfused fresh allogeneic plasma. The changes of hematocrit, hemoglobin, pulmonary arterial pressure and plasma protein concentration before and after the infusion were monitored. Results All patients had different degrees of hematocrit decline, hemoglobin concentration decreased, decreased pulmonary artery pressure and plasma protein concentrations, cardiac function improved. Conclusions Autologous plasma combined with allogeneic plasma infusion is a simple and convenient method for the treatment of senile pulmonary heart disease, which increases the curative effect of conventional drugs. The clinical curative effect is remarkable and the disease recurrence is reduced. The long-term effect is good.