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白血病患者并发真菌肺炎行异基因移植7例临床分析
引用本文:刘周阳,曹永彬,闫蓓,高春记,达万明,吴晓雄.白血病患者并发真菌肺炎行异基因移植7例临床分析[J].临床肺科杂志,2011,16(1):76-77.
作者姓名:刘周阳  曹永彬  闫蓓  高春记  达万明  吴晓雄
作者单位:1. 中国人民解放军总医院第一附属医院血液科,北京,100048
2. 中国人民解放军总医院血液科,北京,100853
摘    要:目的观察并发曲霉菌肺炎的白血病患者行异基因外周血造血干细胞移植的疗效及安全性。方法回顾性分析7例伴曲霉菌肺炎的白血病患者成功完成异基因外周血造血干细胞移植的过程。结果入组7例患者中,男4例,女3例,中位年龄22.8(13-37)岁,随访时间均大于6个月,移植后1个月复查患者嵌合体均为100%完全供者嵌合。移植后平均抗真菌治疗时间为3个月,7例患者肺部真菌感染全部达到显效,造血干细胞100%植入,无1例发生相关死亡。结论伴发曲霉菌肺炎的白血病患者采用有效的抗真菌治疗方案仍然可以接受异基因外周血造血干细胞移植,并不会影响供者造血干细胞植入,且患者耐受性良好,值得进一步研究。

关 键 词:恶性血液病  侵袭性真菌感染  造血干细胞移植

Clinical evaluation of allogeneic stem cell transplantation in 7 hematopathic patients complicated with aspergillus pneumonia
LIU Zhou-Yang,CAO Yong-bin,YAN Pei,GAO Chun-ji,DA Wang-ming,WU Xiao-xiong.Clinical evaluation of allogeneic stem cell transplantation in 7 hematopathic patients complicated with aspergillus pneumonia[J].Journal of Clinical Pulmonary Medicine,2011,16(1):76-77.
Authors:LIU Zhou-Yang  CAO Yong-bin  YAN Pei  GAO Chun-ji  DA Wang-ming  WU Xiao-xiong
Affiliation:LIU Zhou-Yang1,CAO Yong-bin1,YAN Pei1,GAO Chun-ji2,DA Wang-ming2,WU Xiao-xiong1 1.Department of hematology,the 304 clinical division of china PLA general hospital,Beijing 100048,China,2.Department of hematology,the china PLA general hospital,Beijing 100853
Abstract:Objective To investigate the efficacy and safety of allogeneic stem cell transplantation in treating malignant hematologic patients complicating with aspergillus pneumonia.Methods 7 patients(3 ALL,3 AML,1 CML-bc;4 male,3 female) complicating with aspergillus pneumonia were enrolled into this study.All patients achieved excellence or complete response before transplantation,3 patients underwent HLA-identical siblings transplantation,2 patient unrelated HLA-identical transplantation,2 patient HLA-haploidentic...
Keywords:hematological malignancies  invasive fungal infections  hematopoietic stem cell transplantation  
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