Розмір шрифту: 

The objective of the paper is to optimize the treatment of patients with severe hepatonephric insufficiency using the method of plasma sorption (PS). PS (55) was performed in 26 patients: 12 men and 14 women. By age: up to 30 years - 2; to 40 - 1; up to 50-3; to 60 - 11; over 60 – 9 individuals. This group included patients with leptospirosis, toxic hepatitis, mechanical jaundice, pancreatic necrosis, sepsis, peritonitis, acute cholecystopancreatitis. PS was performed on the first 1-2 days of admitting the patients in the intensive care unit against the background of oliguria or oligoanuria in a usual intermittent way. The "ГСГД" sorbent with a capacity of 100 ml known in its quality characteristics was used to purify plasma. During one session 1400-1600 ml of plasma was purified and returned to the patient in parallel with the return of the formed elements. Inclusion criteria: presence of mixed liver and kidney failure (total blood bilirubin - 240-260 μmol / l; urea - 18-30 mmol / l; creatinine - 430-520 micromol / l; diuresis <1L / day). Exclusion criteria: independent hepatic and renal insufficiency syndromes, fulminant forms, critical states (shocks, terminal states).  Comparison groups: a) 26 patients with similar nosologies, who underwent hemosorption (HS); b) 11 patients  who underwent plasmapheresis (PP).