首页|曲拉西利在小细胞肺癌药物治疗中的骨髓保护作用

曲拉西利在小细胞肺癌药物治疗中的骨髓保护作用

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目的:探讨曲拉西利在小细胞肺癌药物治疗中的骨髓保护作用,为安全用药提供参考.方法:1例广泛期小细胞肺癌患者应用依托泊苷、卡铂、度伐利尤单抗治疗后出现Ⅳ级骨髓抑制.临床药师参与患者的药物治疗过程,为医护人员及患者提供药学服务.结果:在后期治疗中,患者在使用抗肿瘤药前 4 h应用曲拉西利,其白细胞、中性粒细胞、血红蛋白和血小板未再出现明显降低.结论:对应用抗肿瘤药后出现严重骨髓抑制的小细胞肺癌患者,再次应用原方案治疗时可以应用曲拉西利,但应高度重视曲拉西利导致的静脉炎、血栓等不良反应.
The myeloprotective effect of trilaciclib in the treatment of small cell lung cancer
Objective:To explore the myeloprotective effects of trilaciclib in the chemotherapy of small cell lung cancer(SCLC)so as to provide references for safe medication.Methods:A case of extensive-stage SCLC patient experienced gradeⅣ bone marrow suppression after first cycle of etoposide and carboplatin chemotherapy plus durvalumab monoclonal antibody.Clinical pharmacists participated in the patient's drug treatment process and provided pharmaceutical service for healthcare professionals and patients.Results:During the later stages of chemotherapy plus immunotherapy,the patient was administered trilaciclib 4 hours before using anti-tumor drugs and there was no significant decrease in white blood cells count,neutrophils count,hemoglobin level,and platelets count subsequently.Conclusion:For SCLC patients who experienced a significant bone marrow suppression after chemotherapy,trilaciclib can be administered when the original regimen is reapplied.However,close attention should be paid to potential adverse reactions such as phlebitis and thrombosis caused by trilaciclib.

small cell lung canceretoposidecarboplatintrilaciclibmyelosuppression

宋慧娜、方英立、李际盛

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山东大学齐鲁医院临床药学部 济南 250012

莒县中医医院临床药学研究室 日照 276599

山东大学齐鲁医院肿瘤内科 济南 250012

小细胞肺癌 依托泊苷 卡铂 曲拉西利 骨髓抑制

2024

上海医药
上海医药行业协会

上海医药

影响因子:0.781
ISSN:1006-1533
年,卷(期):2024.45(5)
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