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存活十年以上慢性粒细胞性白血病16例随访观察
引用本文:宋超英,邵青,李秀松,张芬琴,陈淑蓉,蔡敬仁.存活十年以上慢性粒细胞性白血病16例随访观察[J].白血病.淋巴瘤,1992(2).
作者姓名:宋超英  邵青  李秀松  张芬琴  陈淑蓉  蔡敬仁
作者单位:上海市崇明中心医院,云南省红十字会医院,上海第二医科大学附属瑞金医院,上海第二医科大学附属瑞金医院,上海第二医科大学附属瑞金医院,上海第二医科大学附属瑞金医院 200025上海市血液学研究所,200025上海市血液学研究所,200025上海市血液学研究所,200025上海市血液学研究所
摘    要:我院1959~1991年诊治慢性粒细胞性白血病286例,其中16例长期存活十年以上,11例经马利兰间歇治疗,2例用马利兰与羟基脲交替治疗,2例为马利兰与靛玉红交替治疗,1例马利兰及马法兰交替治疗。其中最长生存年限为32年。16例中5例已死亡。该组病例经过 COX 危险因子测定。初诊时大部分为1~3分。间歇服用马利兰仍不失为治疗慢性拉细胞白血病的较好方法。

关 键 词:慢性粒细胞性白血病  马利兰  长期存活

CLINCAL STUDY ON SIXTEEN CASES OF CHRONIC LYMPHOCYTIC LEAKEMI
Song Cao Ying,et al Blood Disease Research Instinte of Shanghai The Second Medical Vniversity.CLINCAL STUDY ON SIXTEEN CASES OF CHRONIC LYMPHOCYTIC LEAKEMI[J].Journal of Leukemia & Lymphoma,1992(2).
Authors:Song Cao Ying  Blood Disease Research Instinte of Shanghai The Second Medical Vniversity
Abstract:From 1959 to 1991,286 patients with chronic Iymphocytic leakemia were studied.In terms of survival time,sixteen cases were>10 years,among which eleven cases were treated with myleran intermittently,two cases were treated with myleran and hydroxylurea by turns,two cas- es were treated with myleran and Dingyuhong,and one case was treated with myleran and melphalan intermittently.The Iongest survival time is thirty-two years.Five out of sixteen pa- tients have died.We studied the prognostic factors of these patients with COX model,and found that most cases of this illness were within 1 to 3 fen.Obviously enough,the better way to treat the case of ehronic lymphocytic leakemia is to use myleran intermittently.
Keywords:chronie lymphocytic leakemia myleran
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