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METHOD FOR IMMUNOMODULATING THERAPY IN SURGICAL PATIENTS

机译:手术疗法对患者进行免疫调节的方法

摘要

The method for immunomodulating therapy in the surgical patients provides for diagnosing the systemic inflammatory reaction by assaying IL-8 content in blood serum of the patient. In the cases of the severe acute surgical states IL-8 is blocked by dexamethasone administered at a dose of 2-4 mg/kg daily. In addition, the density of HLA-DR+ receptors and type of the immune reactions are assessed. Then the systemic inflammatory reaction is additionally blocked in one of the following ways: When thereceptor density is high, and the immune reactions are of combined type û pentoxyphyllin is administered at a daily dose of 3 mg/kg for 3-5 days. When the receptor density is high, and the immune reactions are of humoral type û plasmapheresis is additionally used. When the receptor density is low, and the immune reactions are of cellular type û the cryoconserved hemopoietic embryonic cells (10-12 weeks of gestation) are administered (1-2 doses with 7-10-days interval). When the receptor density is low, and the immune reactions are of humoral type û the cryoconserved hemopoietic embryonic cells (16-18 weeks of gestation) are additionally used (1-2 doses with 7-10-days interval).
机译:用于外科手术患者的免疫调节疗法的方法提供了通过测定患者血清中IL-8含量来诊断全身性炎症反应的方法。在严重的急性手术状态下,地塞米松以每天2-4 mg / kg的剂量阻断IL-8。此外,还评估了HLA-DR +受体的密度和免疫反应的类型。然后以下列方式之一阻断全身性炎症反应:当受体密度高且免疫反应为联合型时,以3 mg / kg的日剂量给予3-5天戊氧基叶绿素。当受体密度高且免疫反应为体液型时,需额外进行血浆置换。当受体密度低,并且免疫反应是细胞类型û时,冷冻保存的造血胚胎细胞(妊娠10-12周)被给予(1-2剂,间隔7-10天)。当受体密度低且免疫反应为体液型û时,还应使用冷冻保存的造血胚胎细胞(妊娠16-18周)(1-2剂,间隔7-10天)。

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