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异基因造血干细胞移植后急性移植物抗宿主病的诊治 总被引:1,自引:0,他引:1
目的:探讨异基因造血干细胞移植后并急性移植物抗宿主病(aGVHD)的特点及有效防治。方法:2例(急性粒细胞白血病、急性粒单细胞白血病各1例)采用改良的马利兰、环磷酰胺方案进行预处理后,输注供者骨髓血或外周血干细胞。1例(慢性粒细胞白血病)予马法兰 阿糖胞苷 环磷酰胺 足叶乙甙方案预处理,回输外周血干细胞。aGVHD的预防均用环胞菌素A、甲氨蝶呤,出现GVHD后加用甲基强的松龙治疗。结果:移植后均获造血重建,发生较为严重的aGVHD2例。结论:联合各种免疫抑制剂,能有效防治GVHD,使患者获得长期造血重建。 相似文献
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[例1]男,62岁。因反复发热,皮肤黄染,皮肤紫斑20天,加重并精神异常1周,于1995年10月16日入院。查体:体温36.5℃,脉搏、呼吸、血压正常,谵妄,躁动不安,体检不合作。皮肤巩膜黄染,周身散在片状紫斑,口唇粘膜有血疱。实验室检查WBC5.6×109/L,Hb75g/L,Plt40×109/L,BUN8.5mmol/L;骨髓像示增生明显活跃,以红系中晚幼红为主,可见多嗜性点彩红细胞及红细胞碎片。诊断:血栓性血小板减少性紫癜(TTP)。给予血浆置换5次,应用潘生丁、复方丹参、皮质激素等治疗,黄疸减轻,出血点减少,精神症状逐渐消失,但血小板… 相似文献
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Objective To observe the efficacy of autologous hematopoietic stem cell transplantation (auto-AHSCT) in treatment of malignant hemopathy. Methods A retrospective study was accomplished on the auto-AHSCT in the treatment of 28 patients with malignant hemopathy from Oct 1994 to May 2009. The median age of the patients was 30 (16-45) years. Among the 28 patients,19 cases were acute myelocytic leukemia (AML),4 cases were acute lymphoblastic leukemia (ALL) and 5 cases were malignant lymphoma (ML). Mobilization of peripheral blood stem cell was recieved by giving granulocyte colony-stimulating factor (G-CSF) 5-10 μg/kg. The patients were pretreated with melphalan (140-160 mg/m2),cyclophosphamide (120 mg/kg) and arabinosylcytosin (2 g/m2). Results Transplant-related side effects was less and the hematologic recovery of most patients(26 cases) was quite rapid. The days to stable neutrophil count of 0.5×109/L and platelet count of 20×109/L were 12(8-38) d and 14(9-128) d,respectively. The median followup duration was 36(7-68) months. 19 cases (68 %) achieved disease-free survival(DFS) and 9 cases (32 %)died in three years. Of the 9 death patients,7 cases (25 %) died of recurrence and 2 cases (7 %) died of posttransplant complications. Conclusion AHSCT is a safe and effective therapy method for malignant hemopathy. 相似文献
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300例恶性血液病中,有农药杀虫密切接触史者31例,有化学性有毒密切接触史者42例,明显高于对照组。另外,10例患双重肿瘤,14例有双重血液病表现,13例患者直系亲属有肿瘤病史。以上结果提示进一步研究这些因素对探明血液肿瘤的病因和诱因将有重要的意义。 相似文献
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农药“克无踪”中毒患者,由于无特效解毒药,治疗上缺乏有效的方法,临床死亡率极高。作者通过对37例“克无踪”中毒患者的治疗观察比较,认为血浆置换(PE)是成功救治“克无踪”中毒的有效方法,明显优于对照组。本文详述“克无踪”中毒机理与PE的治疗作用,为提高“克无踪”中毒的抢救成功率,做出有益的探索。 相似文献