The authors presented their experience of the use of intermittent plasmapheresis in 220 children with bacterial-inflammatory and immune-mediated diseases characterized by extreme severity and refractoriness to common therapeutic methods. Its use against a background of adequate etiological and pathogenetic therapy was shown to improve therapeutic results. In virus hepatitis with liver insufficiency, bullous erythema and hemorrhagic vasculitis plasmapheresis can be used as an independent method. Differentiated programs of the use of plasmapheresis were proposed, its safety was shown.
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