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HA+马利兰/HA方案初治慢性粒细胞白血病疗效观察
引用本文:陈为民,杨瑞芬,周明宣,陈捷,李良庆. HA+马利兰/HA方案初治慢性粒细胞白血病疗效观察[J]. 临床血液学杂志, 1996, 9(1): 13-15
作者姓名:陈为民  杨瑞芬  周明宣  陈捷  李良庆
作者单位:南京军区福州总医院血液科!350001
摘    要:12例初诊的慢性粒细胞白血病(CML)接受HA+马利兰/HA方案化疗.三尖杉酯硷 2~3mg/d,阿糖胞苷100~200ng/d,7~10天为1疗程.7例在停HA后即连用马利兰4~8mg/d×5~8天.1疗程未达CR者间隔2~3周开始第2疗程直至CR.结果;1疗程CR率66.6%,有效率100%;2疗程CR率100%;达CR中位时间30天.其中2例ph_1;阳性率治疗前后对比下降平均为48.6%.提示:HA+马利兰/HA方案缓解率及有效率明显高于单一马利兰;显效快,达CR迅速,作用轻.HA+马利兰较HA能加速CML获CR.对慢性期CML细胞遗传学有较好改善.

关 键 词:白血病 慢性粒细胞 HA方案 马利兰 药物疗法

HA Plus Myleran or HA Protocol Use for Initially Treated Chronic Myelogenous Leukemia
Chen Weimin,Yang Ruifen,Zhou Minxuan et al Fuzhou general hostital of PLA. HA Plus Myleran or HA Protocol Use for Initially Treated Chronic Myelogenous Leukemia[J]. Journal of Clinical Hematology, 1996, 9(1): 13-15
Authors:Chen Weimin  Yang Ruifen  Zhou Minxuan et al Fuzhou general hostital of PLA
Abstract:From 1992 to 1994, 12 Cases of initially diagnosed chronic myelogenous leukemia were treated with HA (Homoharring tonine and Ara-C) or HA plus myleran regimen. All cases were response and 8 cases (66. 6%) reached complete remission (CR) after first course. 12 cases (100%) achieved CR after two courses. From treatment beginning to CR, there were median duration of 30 days (range 20-58). Ph1-Positive rates were reduced to the mean of 48. 6% at two cases. No severe toxicity was found. It is suggested that HA plus myleran or HA protocol have effect on initially treated chronic myelogenous leukemia.
Keywords:Chronic myelogenous lenkemia Chemotherapy HA protocol mylelan
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