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静脉滴注胎盘免疫球蛋白治疗慢性移植物抗宿主病的疗效观察

INTRAVENOUS PLACENTAL IMMUNOGLOBULIN FOR TREATMENT OF CHRONIC GRAFT VERSUS HOST DISEASE

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【作者】 郑缓陆道培郭乃榄黄晓军

【Author】 Zheng Huan;Lu Dao-pei;Guo Nai-lan;et al.Institute of Hematology,Beijing Medical University,Beijing China 100044

【机构】 北京医科大学附属人民医院血液病研究所

【摘要】 静脉滴注胎盘免疫球蛋白(IVPtIG)治疗30例慢性移植物抗宿主病(CGVHD)。此30例皆为对环胞菌素A(CsA)与皮质激素等无效的病例。IVPtIG用量为4g/d静点。结果表明:30例中26例在用药后明显好转,而且多在2周内就可见到明显疗效,,总有效率为86,7%。患者治疗后的血清球蛋白并未升高,这说明其治疗机理可能与静注胎盘免疫球蛋白本身的药理作用有关。

【Abstract】 ntravenous placental immunoglobulin(IV Pt IG) was used for the treatment of chronic graft ver- sus host disease(CGVHD)in 30 patients who are refractory to steroid and cyclosporinc A. 15(50%)patients showed excellant response and 11(36.66%)good response.The total response rate is 86.66%。The dosage of IV PtIG was 4 gm / day in adults by intravenous infusion. Effectiveness ofIV PtIG was discerned within 2 weeks.The plasma levels of IgG,IgA and IgM were tested before and after IV PtIG treatment.There was no significant statistical differnece between the plasma IgG,IGA,IGM levels in pre-and post-treatment period. The efficacy of IV Pt IG aganist CGVHD is therefore ascribed to its pharmacological effect.

  • 【文献出处】 中华内科杂志 ,CHINESE JOURNAL OF INTERNAL MEDICINE , 编辑部邮箱 ,1994年05期
  • 【分类号】R457.7
  • 【被引频次】1
  • 【下载频次】54
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