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大剂量阿糖胞苷治疗急性白血病的临床观察
引用本文:刘建平,郄丽萍,王向文.大剂量阿糖胞苷治疗急性白血病的临床观察[J].内蒙古医学杂志,2007,39(8):942-943.
作者姓名:刘建平  郄丽萍  王向文
作者单位:内蒙古自治区医院儿科,内蒙古,呼和浩特,010017
摘    要:目的:探讨以大剂量阿糖胞苷(HD-AC)用于急性白血病完全缓解(CR)后巩固强化治疗和难治性复发性髓系白血病的疗效及副作用。方法:HD-AC治疗8例急性髓系白血病(AML)和2例复发性髓系白血病,每次2.0g/m2,q.12h,6次为1个疗程,化疗中使用G-CSF。结果:以HD-AC为主联合化疗AMI缓解6例,复发者缓解1例,缓解率70%。最主要的副作用是骨髓严重抑制和感染。结论:以HD-AC为主的联合化疗方案可用于急性白血病的强化治疗,对降低复发、提高无病生存率有积极的意义。

关 键 词:大剂量阿糖胞苷  急性白血病  强化治疗
文章编号:1004-0951(2007)08-0942-02
修稿时间:2006-11-13

Clinical Observation of Large Dose of Arabinosylcytosin in Treatment of Acute Leukemia
LIU Jian-ping,QIE Li-ping,WANG Xiang-wen.Clinical Observation of Large Dose of Arabinosylcytosin in Treatment of Acute Leukemia[J].Inner Mongolia Medical Journal,2007,39(8):942-943.
Authors:LIU Jian-ping  QIE Li-ping  WANG Xiang-wen
Affiliation:Department of Pediatrics,Inner Mongolia Hospital,Huhhot 010017 China
Abstract:Objective:To evaluate the curative effectiveness and side effect of large dose of arabinosylcytosin(Ara-C) during intensification therapy for complete recovery(CR) of acute leukemia or for recurrent marrow leukemia.Methods: In 8 cases of acute marrow leukemia(AML) and 2 cases of recurrent marrow leukemia,HK-AC were administrated in dose of 2.0g every m2,every 12 hours for a period up to 6 times.G-CSF was given during chemotherapy.Results: 6 cases of AML and 1 recurrent one relieved with therapy of large dose of Ara-C.The rate of relief was 70%.The main side effects had serious marrow inhibition and infection.Conclusion: Combined chemotherapy including main Ara-C should be applied in intensification therapy for acute leukemia.This methods is significant in reducing recurrent and improving survival rate.
Keywords:Large dose of arabinosylcytosin  Acute leukemia(AL)  Intensification therapy
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