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环磷酰胺冲击治疗小儿难治性肾病
引用本文:张琴,聂磊,肖玉,钟青,谢集建. 环磷酰胺冲击治疗小儿难治性肾病[J]. 郧阳医学院学报, 1999, 18(1): 18-20
作者姓名:张琴  聂磊  肖玉  钟青  谢集建
作者单位:郧阳医学院附属太和医院儿科
摘    要:目的:观察环磷酰胺冲击治疗小儿难治性肾病疗效。方法:环磷酰胺冲击治疗小儿难治性肾病28例,每2周1次,每次8~12mg/kg,连用2d,尿蛋白阴转后改为每月1次,巩固治疗3~6月,累计总量不超过250~300mg/kg。结果:总有效率96%,完全缓解24例,部分缓解3例,无效1例。6例频反复频复发病例中,4例获长期缓解,1例复发,1例失访。结论:环磷酰胺冲击治疗小儿难治性肾病疗效显著,缓解率高,副作用相对少,是目前治疗小儿难治性肾病强有力的手段和重大进展。

关 键 词:肾病综合征  环磷酰胺  儿童

Clinical Observation of CTX Pulse Therapy on Children Refrac tory Nephrotic Syndrome
Zhang Qin,Nie Lei,Xiao Yu,et al.. Clinical Observation of CTX Pulse Therapy on Children Refrac tory Nephrotic Syndrome[J]. Journal of Yunyang Medical College, 1999, 18(1): 18-20
Authors:Zhang Qin  Nie Lei  Xiao Yu  et al.
Affiliation:Zhang Qin,Nie Lei,Xiao Yu,et al.;(Departmant of Pediatrics,Taihe Hospital,Yunyang Medical College
Abstract:Objective: To investigate the effect of CTX pulse therapy on children refractory nephrotic syndrome. Methods: CTX pulse therapy on children refratory nephrotic syndrome in 28 cases,CTX pusle treatment once 2 weeks,812 mg/(kgd) for two days. Results: The entire remission rate and total effective rate of therapeutic group were 85.7% and 96% respectively with a follow-up peroid of 0.55.5 years.The Thlapsing rate was only 16.6%. Conclusion: CTX pulse therapy is effective on childron refractory nephrotic syndrome
Keywords:nephrotic syndrome  cyclophosphamide  child
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