Education, Science, Technology, Innovation and Life
Open Access
Sign In

Application of Double Plasma Adsorption Combined with Plasma Exchange in Patients with Acute and Chronic Liver Failure

Download as PDF

DOI: 10.23977/medsc.2026.070112 | Downloads: 0 | Views: 23

Author(s)

Guangzhi Zeng 1, Zhihong Liu 2, Caiyong Lu 1

Affiliation(s)

1 Liu Tie Central Hospital, Liuzhou, Guangxi, 541001, China
2 The First Affiliated Hospital of Guangxi Medical University, Nanning, 530021, China

Corresponding Author

Zhihong Liu

ABSTRACT

To investigate the clinical efficacy of a dual plasma molecular adsorption system combined with plasma exchange in the treatment of acute and chronic liver failure. Clinical data of 60 patients with acute and chronic liver failure were collected from January 2024 to July 2025 for study. The patients were divided into a control group (n=30) and an observation group (randomized using a random number table). The control group received plasma exchange alone, while the observation group received dual plasma adsorption plus plasma exchange. The clinical treatment outcomes, liver function, coagulation function, and inflammatory factor levels were compared between the two groups. The study data showed that after corresponding treatments, the clinical total effective rate in the observation group was significantly superior to that in the control group. In terms of liver function indicators, the levels of aspartate aminotransferase (AST), alanine aminotransferase (ALT), total bilirubin, and direct bilirubin in the observation group were significantly lower than those in the control group. Coagulation function tests revealed that the prothrombin time and activated partial thromboplastin time in the observation group were significantly prolonged compared to the control group. Additionally, in terms of inflammatory markers, the levels of C-reactive protein (CRP) and procalcitonin in the observation group were also lower than those in the control group, with statistically significant differences between the groups (P <0.05). The combined treatment approach can effectively improve liver function and coagulation function, reduce inflammatory factors in the body, and enhance treatment efficacy.

KEYWORDS

Acute and Chronic Liver Failure; Dual Plasma Adsorption; Plasma Exchange; Liver Function

CITE THIS PAPER

Guangzhi Zeng, Zhihong Liu, Caiyong Lu. Application of Double Plasma Adsorption Combined with Plasma Exchange in Patients with Acute and Chronic Liver Failure. MEDS Clinical Medicine (2026). Vol. 7, No.1, 124-130. DOI: http://dx.doi.org/10.23977/medsc.2026.070112.

REFERENCES

[1] Li MY, Wang Q, Yang X, Li Y. Application of plasma exchange combined with dual plasma molecular adsorption system in patients with liver failure [J]. Heilongjiang Medical Journal, 2025,49(4):410-412.
[2] Liu Huiqing, Xu Yao, Qu Yanxiao. Clinical effect analysis of dual plasma molecular adsorption combined with low-volume plasma exchange in the treatment of liver failure [J]. China Community Physician, 2025,41(2):18-20.
[3] Zou B, Zhu L, Gan Dakai, Zhang Xinyao, Yao Xuebing. Short-term outcomes of low-volume plasma exchange combined with dual plasma molecular adsorption therapy in patients with chronic-to-acute liver failure [J]. Journal of Practical Medicine, 2024,40(3):348-352359
[4] Zhang Huifang, Cai Chao, Chen Lu, Lin Xiuli, Zhu Bihong, Li Shanshan. Prognostic factors analysis of plasma exchange in patients with chronic plus acute hepatitis B-related liver failure [J]. Modern Practical Medicine, 2025,37(2):170-173.
[5] Ma Sihui. Observation on the application effect and safety of dual plasma molecular adsorption system combined with plasma exchange in the treatment of chronic and acute liver failure [J]. Heilongjiang Medicine, 2025,38(1):169-172.
[6] Chen Xiaohong, Xie Yeqing, Zhang Ningping, Hu Jiachang, Yu Jiawei, Jiang Wuhua, Wang Li, Teng Jie, Ding Xiaoqiang, Zhou Jian, Shen Bo, Xu Jiarui. Comparative analysis of efficacy between single plasma exchange and dual plasma molecular adsorption system in the treatment of chronic-to-acute liver failure [J]. Shanghai Medical Journal, 2025,48(1):17-22.
[7] Liu Xianying. Research Progress on Plasma Exchange Combined with Bilirubin Adsorption for the Treatment of Liver Failure [J]. Chinese Journal of Science and Technology (Abstract Edition) Medicine and Health, 2025(4):001-005.
[8] Yan Zhanjie, Wang Wenling, Han Yang, Zhao Fangcheng, Yin Huimin, Li Rongkuan. The optimal time for bilirubin adsorption in the dual plasma molecular adsorption system for the treatment of chronic and acute liver failure and the predictive value of the combined score of CTP-total bilirubin rebound rate on its efficacy [J]. China Journal of Liver Diseases (Electronic Edition), 2025,17(1):44-50.
[9] Qiu Xingdi. Efficacy of dual plasma molecular adsorption system combined with hemofiltration in the treatment of patients with chronic and acute liver failure [J]. Chinese Journal of Min Kang Medicine, 2025,37(9):56-59
[10] Li Yongfei, Xu Zhenggou, Ye Qiaoxia, Wei Jin. Efficacy of plasma exchange combined with hemofiltration in the treatment of patients with chronic-to-acute hepatitis B-associated liver failure[J]. Journal of Practical Hepatology, 2025,28(3):394-397.
[11] Chen Jawei, Cai Yifeng, Zhang Zhijian, Weng Dongrui. Efficacy of dual plasma molecular adsorption combined with low-dose plasma exchange in the treatment of hyperbilirubinemia patients with liver failure [J]. Chinese and Foreign Medical Journal, 2024,43(11):9-12.
[12] Chen N, Ma L, Zhang Q, An Yiyuan, Liu Junping. Clinical comparative study on total plasma exchange versus dual plasma molecular adsorption combined with low-volume plasma exchange in the treatment of liver failure [J]. Practical Integrated Traditional Chinese and Western Medicine Clinical, 2024,24(7):86-89.

Downloads: 10848
Visits: 840432

Sponsors, Associates, and Links


All published work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright © 2016 - 2031 Clausius Scientific Press Inc. All Rights Reserved.