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异基因外周血干细胞移植治疗二例急性白血病

Allogeneic Peripheral Stem Cell Transplantation for Patients with Acute Leukemia

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【作者】 张荣艳; 陈国安; 肖承京; 付美珍; 陈艳; 高琳; 杨赣萍;

【Author】 ZHANG Rong yan, CHEN Guo an, XIAO Cheng jing, FU Mei zhen, CHEN Yan, GAO Lin, YANG Gan ping (Department of Hematology,the First Affiliated Hospital,Jiangxi Medical College, Nanchang 330006,China)

【机构】 江西医学院第一附属医院血液科; 江西医学院第一附属医院血液科 江西南昌; 330006; 江西南昌; 330006;

【摘要】 目的 :评价异基因外周血干细胞移植 (allo PBSCT)治疗急性白血病的疗效。方法 :预处理方案 :改良BUCY。预防移植物抗宿主病 (GVHD)方案 :CsA +短程MTX ,用G CSF 5 μg/kg·d-1× 4~ 5d进行造血干细胞动员。分离单个核细胞 5 .5 3~ 6 .92× 10 8/kg。结果 :2例患者移植后均重建造血。粒细胞 >0 .5× 10 9/L ,+12d ;血小板 >2 0×10 9/L ,+13d。 1例发生慢性GVHD。结论 :allo PBSCT有造血重建快 ,采集干细胞方便 ,供者易接受之优点 ,是一种治疗急性白血病的有效方法

【Abstract】 Objective: To evaluate the efficacy of allo PBSCT for acute leukemia. Methods: Two patients with acute promyelocytic leukemia were treated with allo PBSCT. Conditioning regimens modified busulfam (mBUCY). A combination of cyclosooring and methotrexate was administered to prevent acute GVHD. All donors received G CSF 5 μg /kg·d -1 for 4 to 5 days. leukapheresis procedures were performed by CS 3000 plus blood cell separator to collect a median mononuclear cells of 5.53~6.92×10 8/kg.Results: Two patients were engrafted and hematopoietic reconstitution was rapid. The neutrophils were 0.5×109/ L at day +12, platelets > 20×10 9/ L at day +13 and cGVHD occured in one patient. Conclusion: Allo PBSCT would be safe and effective in the treatment of acute Leukemia.

  • 【文献出处】 江西医学院学报 ,Acta Academiae Medicinae Jiangxi , 编辑部邮箱 ,2001年06期
  • 【分类号】R733.71
  • 【下载频次】23
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