血浆置换治疗视神经脊髓炎相关性视神经炎的研究进展

彭雪娇; 叶诗洋; 黄小勇; 姜安丽; 廖明燕; 王晓蕾

doi:10.13406/j.cnki.cyxb.003453

重庆医科大学学报 ›› 2024, Vol. 49 ›› Issue (03) : 237 -241. DOI: 10.13406/j.cnki.cyxb.003453

综述

血浆置换治疗视神经脊髓炎相关性视神经炎的研究进展

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Research advances in plasma exchange in treatment of neuromyelitis optica-related optic neuritis

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摘要

血浆置换是一种重要的临床治疗手段，广泛地应用于神经病学、血液病学及代谢紊乱性疾病等多种临床疾病的治疗，但治疗视神经脊髓炎相关性视神经炎国内暂时未普遍使用。本文就视神经脊髓炎相关性视神经炎发病机制与临床表现等特点，对血浆置换治疗方法及其对视神经脊髓炎相关性视神经炎治疗机制、注意事项及不良反应情况进行综述，为临床诊断治疗及预后判断提供一定参考依据。

Abstract

Plasma exchange is an important treatment method in clinical practice and is widely used in the treatment of various clinical diseases such as neurological diseases，hematological diseases，and metabolic disorders，while it has not been widely used in China for the treatment of neuromyelitis optica-related optic neuritis. This article reviews the pathogenesis and clinical manifestations of neuromyelitis optica-related optic neuritis，the mechanism of plasma exchange in the treatment of neuromyelitis optica-related optic neuritis，and related precautions and adverse reactions，in order to provide a reference for clinical diagnosis，treatment，and prognostic evaluation.