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三氧化二砷与联合化疗序贯治疗急性早幼粒细胞白血病7例

TREATMENT FOR 7 CASES OF ACUTE PROMYELOCYTIC LEUKEMIA BY SEQUENTIALLY USING ARSENIC TRIOXIDE AND COMBINATION CHEMOTHERAPY

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【作者】 蔡云; 汪明春; 陈俊雄; 叶选海; 游伟文; 张锐发;

【Author】 Cai Yun,Wang Mingchun,Chen Junxiong,et al Shenzhen Red Cross Hospital(Shenzhen,518029)$$$$

【机构】 深圳市红十字会医院!518029;

【摘要】 目的 探讨三氧化二砷(As2O3)与联合化疗序贯治疗急性早幼粒细胞白血病(APL)的疗效与副作用。方法 首先对3 例初治病人与4例复发病人分别给予全反式维甲酸(ATRA)和(As2O3 )以诱导缓解,完全缓解(CR)后用DA、HA方案与As2O3 序贯治序。结果 7 例病人均获CR,目前仍保持CR状态,持续CR的时间已10个~44个月。结论 As2O3 与联合化疗序贯治疗APL具有疗效好,毒副作用轻,易于长期维持治疗等优点。

【Abstract】 Objective To observe the effect and side effect of sequentially using arsenic trioxide (As 2O 3) and combination chemotherapy for the treatment of the patients with acute promyelocytic leukemia(APL).Methods 3 cases of newly diagnostic APL patients,were induced to complete remission (CR) by all tran retinoic acid (ATRA),and 4 cases of the relapse APL by As 2O 3.After CR,As 2O 3 and DA or HA regimens was used sequentially.Results A11 7 patients achieved and remained CR until now and the time of CR was 10~44 months.Conclusion The therapy of sequentially using As 2O 3and combination chemotherapy for treatment of APL has the advantages of achieving good results with mild side effects acceptable in the long period of maintenance therapy.

  • 【分类号】R733.71
  • 【被引频次】4
  • 【下载频次】45
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