Kazan medical journalKazan medical journal0368-48142587-9359Eco-Vector234210.17816/KMJ2342Research ArticleExtracorporeal methods of detoxication in the complex treatment hepatitisParfenchikF Nvg_samara@bk.ruKulidzhanovA Yu-354th District Military Clinical Hospital, RussiaSamara Medical Institute «REAVIZ», Samara, Russia1504201293237437528032016Copyright © 2012, Parfenchik F.N., Kulidzhanov A.Y.2012Aim. To study the effectiveness of extracorporeal methods of detoxification in the complex treatment of hepatitis’. Methods. Observed were 39 servicemen who received treatment for viral hepatitis’ A, B and C, at the age of 18 to 40 years (in 13 people - a severe form of viral hepatitis A, in 3 - a moderate form of hepatitis A, in 18 - severe form, and in 5 - moderate form of hepatitis B and C). Diagnostic criteria for chronic viral hepatitis’ include data of virological, clinical, laboratory and morphological studies. Percutaneous needle biopsy of the liver made it possible to make a diagnosis during chronic viral hepatitis based on a histological study, to monitor the effectiveness of treatment, to exclude congenital metabolic liver disease. Results. On the background of administration of the traditional scheme of treatment (regimen, diet, interferon therapy, detoxification, metabolic support, glucocorticosteroids, immune stimulants, antihistamines, bile acid absorbents, adsorbents, cholagogues drugs, hepatoprotectors), the average duration of treatment of viral hepatitis was 30-45 days. During the usage of extracorporeal methods of detoxification (plasmapheresis and hemosorption) the duration of treatment was significantly shorter. Conclusion. The usage of extracorporeal detoxification methods can shorten the treatment of viral hepatitis A, B and C.hepatitisextracorporeal methods of detoxificationplasmapheresishemosorbtionгепатитэкстракорпоральные методы детоксикацииплазмаферезгемосорбция[Жданов К.В. Хронические вирусные гепатиты (клиника, диагностика, лечение). - СПб., 2004. - 39 с.][Костюченко А.Л. Эфферентная терапия. - СПб.: Фолиант, 2003. - 432 с.]