CAJ | 학술논문

目的：观察血液灌流治疗儿童重型皮肌炎的效果。方法回顾性分析2例重型皮肌炎接受血液灌流治疗患儿的临床资料。结果2例患儿血液灌流过程顺利，灌流后肌痛症状明显好转，肌酶明显下降；其中1例患儿在血液灌流后拒绝接受治疗，病情反复；另1例患儿灌流后继续给予免疫抑制剂等积极治疗，最终好转出院。结论血液灌流可以作为重型皮肌炎的辅助治疗方法，可用于一般治疗无效者。
목적：관찰혈액관류치료인동중형피기염적효과。방법회고성분석2례중형피기염접수혈액관류치료환인적림상자료。결과2례환인혈액관류과정순리，관류후기통증상명현호전，기매명현하강；기중1례환인재혈액관류후거절접수치료，병정반복；령1례환인관류후계속급여면역억제제등적겁치료，최종호전출원。결론혈액관류가이작위중형피기염적보조치료방법，가용우일반치료무효자。
Objectives To investigate the clinical effect of hemoperfusion in severe juvenile dermatomyositis. Meth-ods Two patients with severe juvenile dermatomyositis, who accepted hemoperfusion treatment, were retrospectively analyzed. Results In these 2 patients, the hemoperfusion process were smooth. The muscle pain was reduced and the muscle enzymes were decreased. After hemoperfusion, one patient refused to continue treatment and the disease recurrent. The other patient con-tinued to accept the immunosuppressive therapy and eventually improved. Conclusions For juvenile dermatomyositis, hemo-perfusion was a safe and effective auxiliary treatment. It could be applied when the general treatment was invalid.