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FLAG方案治疗难治/复发性急性髓细胞白血病的临床观察

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目的:观察氟达拉滨(Flud)联合阿糖胞苷(Ara-C)、重组人粒细胞集落刺激因子(G-CSF)组成的FLAG方案治疗难治/复发性急性髓细胞白血病的临床疗效及主要毒副反应。方法:采用氟达拉滨(Flud)50mg/d,静脉滴入,持续30min,d1-d5;阿糖胞苷(Ara-C)2g/d,用Flud后4h滴入,持续3h d1-d5;重组人粒细胞集落刺激因子(G-CSF)300ug/d,皮下注射d0-d5,采用FLAG方案治疗难治/复发性急性髓细胞白血病治疗17例,观察其疗效及毒副反应。结论:17例患者完全缓解11例,完全缓解率为64.7%,部分缓解3例,未缓解1例,死亡2例,有效率82.4%。主要副反应为骨髓抑制、感染、消化道症状、轻度肝损害。结论:FLAG方案治疗治/复发性急性髓细胞白血病安全有效。
objective:to observe the fluorine dara marina (Flud) joint cytarabine (Ara-C), recombinant human granulocyte colony stimulating factor (g-csf) FLAG regimen for refractory/recurrent acute myelogenous leukemia clinical curative effect and adverse reaction. Methods:using fluorine dara marina (Flud) 50 mg/d, intravenous drip, lasts 30 min, d1-d5;Cytarabine (Ara-C) 2 g/d, 4 h after using Flud drip into the, last 3 h d1-d5;Recombinant human granulocyte colony stimulating factor (g-csf) 300 ug/d, hypodermic d0-d5, FLAG was used in treatment of refractory or recurrent acute myelogenous leukemia treatment of 17 cases, the curative effect and adverse reaction was observed. Conclusion:17 cases with complete remission in 11 cases, complete response rate was 64.7%, partial in 3 cases, persist in 1 case, 2 cases died, the effective rate was 82.4%. Main side effects for bone marrow inhibition, infection, gastrointestinal symptoms and mild liver damage. Conclusion:treat/FLAG regimen for recurrent acute myelogenous leukemia is safe and effective.

FLAGAcute myelogenous leukemiaRefractory or recurrent

吴晓丹

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辽宁省辽阳市第三人民医院血液科 辽宁 辽阳 111000

FLAG方案 急性髓细胞白血病 难治/复发性

2013

中国保健营养(中旬刊)
全国卫生产业企业管理协会

中国保健营养(中旬刊)

ISSN:1004-7484
年,卷(期):2013.(6)
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