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含三氧化二砷方案治疗复发难治性非M3急性非淋巴细胞白血病45例疗效观察
引用本文:姚亚洲,李小妮,郑引索. 含三氧化二砷方案治疗复发难治性非M3急性非淋巴细胞白血病45例疗效观察[J]. 现代肿瘤医学, 2015, 0(20): 3030-3032. DOI: 10.3969/j.issn.1672-4992.2015.20.45
作者姓名:姚亚洲  李小妮  郑引索
作者单位:宝鸡市中心医院血液风湿病科,陕西 宝鸡 721000
摘    要:
目的:回顾性分析三氧化二砷联合LD-HA治疗难治性非M3急性非淋巴细胞白血病的疗效及不良反应。方法:应用三氧化二砷(0.15mg·kg﹣1·d﹣1,d1~5,d8~12)+ LD-HA(高三尖杉酯碱1mg/d,阿糖胞苷25mg,2次/d,d1~14治疗。ANC(中性粒细胞计数)<1.0×109/L时使用粒细胞集落刺激因子(G-CSF)5μg·kg﹣1·d﹣1,直至ANC>1.0×109/L。结果:一个疗程的总有效率达91.1%,其中CR 32例(71.1%),PR 9例(20%),NR 4例(8.9%)。不良反应轻微。结论:三氧化二砷联合LD-HA治疗难治性非M3急性非淋巴细胞白血病安全有效。

关 键 词:三氧化二砷  复发难治性急性非淋巴细胞白血病  疗效

Clinical analysis of As2 O3 and low dose Homoharringtonine -cytarabine in the treatment of 45 patients with refractory or relapsed non -M3 acute non -lymphocytic leukemia
Yao Yazhou,Li Xiaoni,Zheng Yinsuo. Clinical analysis of As2 O3 and low dose Homoharringtonine -cytarabine in the treatment of 45 patients with refractory or relapsed non -M3 acute non -lymphocytic leukemia[J]. Journal of Modern Oncology, 2015, 0(20): 3030-3032. DOI: 10.3969/j.issn.1672-4992.2015.20.45
Authors:Yao Yazhou  Li Xiaoni  Zheng Yinsuo
Affiliation:Department of Blood and Rheumatic Diseases,The Central Hospital of Baoji,Shaanxi Baoji 721000,China.
Abstract:
Objective:To observe the therapeutic outcome and adversere effect of the combined As2O3 with low-dose homoharringtonine-cytarabine(LD-HA) in the treatment of refractory or relapsed non-M3 acute non-lymphocytic leukemia.Methods:All the patients was treated with As2O3(0.15mg·kg﹣1·d﹣1,d1~5,d8~12) and LD-HA with homoharringtonine 1mg/d and Ara-C 25mg,per 12h,d1~14.Granulocyte colony-stimulating factor(G-CSF,5μg·kg﹣1·d﹣1) was used when the absolute neutrophil count were counted less than 1.0×109/L.Results:After one course of therapy,total efficiency rate of relapsed non-M3 acute non-lymphocytic leukemia was 91.1%,in which the complete remission (CR) were 32 cases(71.1%),partial response were 9 cases(20%),non-remission were 4 cases(8.9%),without any great side effect.Conclusion:The combination of As2O3 and LD-HA scheme had higher CR rate and fewer adverse action in the treatment of refractory or relapsed acute non-lymphocytic leukemia patients.
Keywords:arsenic trioxide  refractory or relapsed non-M3 acute non-lymphocytic leukemia  efficacy
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