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Laser plasmapheresis for treatment of pulmonary and pleural suppurative diseases

Plasmapheresis in pulmonology is one of the leading methods of extracorporeal detoxification of patients with purulent lung and pleura diseases. However this method causes a decrease in patients' leukocyte level and humoral immunity indices. The medico-biological research conducted at the State Scientific Center of Pulmonology demonstrated that a combination of plasmapheresis with additional irradiation of the patients' reinfused erythrocyte mass with low intensive He-Ne laser light with the wavelength of 0.63 mkm considerably reduces the probability of these complications. It may be due to the fact that laser irradiation of autologous erythrocytes induces local and general stimulation, favoring in this way the inflammatory process involution. The suggested method of plasmapheresis was used in the process of treatment of 76 patients with lung abscess, empyema, purulent mediastinitis, sepsis. The essence of the method consists in irradiating with He-Ne laser the last portion of the erythrocyte mass (130 - 170 ml), diluted with saline, during its reinfusion in the course of a routine plasmapheresis. The positive impact of practical application of the above method allows to characterize it as highly effective for treatment of purulent diseases in pulmonology.