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ATRA、DAP方案治疗早幼粒细胞白血病临床和实验研究

CLINICAL AND EXPERIMENTAL STUDY ON THE TREA TMENT OF ACUTE PROMYELOCYTIC LEUKEMIA WITH ATRA AND DAP REGIMENS

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【作者】 殷晓华张德云张晓敏陈方

【Author】 Yin Xiaohua,et al Institute of hematology, Mudan jiang Medical College

【机构】 壮丹江医学院血液病研究所

【摘要】 应用ATRA和DAP方案治疗APL50例,ATRA组CR率92.85%,DAP组CR率54.54%,两组疗效差异显著(P<0.05)。ATRA组CR后必须进行强化治疗,否则易复发。此外对应用ATRA后血细胞的动态变化和造血干细胞GM-CFU、CFU-E治疗前后的改变进行了研究。

【Abstract】 0 patients with acute promyelocytic leukimia(APL)were treated with ATRA and DAP group(22cases)were 92.85%and 54.54%respectively,andthe CR rate in ATRA group was significantlyhigher than that of DAPgroup(P<0.05).During the treatment in ATRA group,the numberofleucocytes was sharply increased(up to 95.0×109/L),myeloproliferationwas very activeparticularly in promyelocyte and metarubricyte).followed by increased stab cells,lobocells:while inDAP group,myelorpoloferation was low or very low,the number of karyocytes wassignificantlydecreased,panhemtopenia in peripheral blood was observed,and fever,hemorrhage and DIC oftenappeared.After CR in ATRA groupintensive treatment is needed,or else APL would recur.We usedHA and DAregimens in turns for intensive treatment and achieved satisfactory resuIts.

  • 【分类号】R733.7
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