Plasmapheresis and blood ultra-violet radiation in pre-operative preparation for cesarean section

Аннотация

Plasmapheresis, being one of the extracorporal therapy methods, was included to comprehensive preparation of 24 pregnant women for cesarean section operation. Therapy tactics was selected due to according pathology and its severity. Instead of plasma being removed the patients were administered crystalloid solutions. Donor blood drugs (plasma, albumin) were not used.

Полный текст

During plasmapheresis operation some ultra-violet radiation of blood was used in volume 1-3 ml/kg of body. Plasma been removed was placed in freezing chamber under 20°C within «Hemalcon» containers - 300-500 ml. 2-3 days before the operation done blood of 6 pregnant women was processed by plasmapheresis, and during this both auto packed red cells and auto plasma were received in volumes 1050 and 2600 ml respectively. It was shown against the background of plasmapheresis and ultra-violet radiation of blood, that patients’ state was improved considerably both subjectively and factually, and biophysical profde offetus and its cardiogram as well. Transfusion of auto packed red cells and that of auto plasmas were performed both in the end cesarean section operation and within postnatal period. Additional plasmapheresis combined with ultra-violet radiation of blood was performed during 2-4 days with 7 patients from risk group of postnatal infection development (1-2 procedures). There was no hemorrhage during the cesarean section operation, nor donor blood and its components were used. No hemotransfusion complications was detected when returning autohemopreparatives.

Apgar score of all newborn was 7-9. All the patients were discharged on 11-14 day.

So, the efferent therapy methods including automeans preparation control effectively pregnancy pathology and provide compensation of operational blood losses by autohemoresources and autoplasma without donor supplies.