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CTV化疗方案治疗视网膜母细胞瘤的不良反应及其防治
引用本文:王一卓,黄东生,史季桐,张伟令,赵军阳,李松峰,葛心,张谊,朱霞,李萍,洪亮,周燕,梁昱. CTV化疗方案治疗视网膜母细胞瘤的不良反应及其防治[J]. 临床儿科杂志, 2011, 29(9). DOI: 10.3969/j.issn.1000-3606.2011.09.022
作者姓名:王一卓  黄东生  史季桐  张伟令  赵军阳  李松峰  葛心  张谊  朱霞  李萍  洪亮  周燕  梁昱
作者单位:1. 首都医科大学附属北京同仁医院儿科,北京,100730
2. 首都医科大学附属北京同仁医院眼科中心,北京,100730
摘    要:目的 观察CTV化疗方案治疗视网膜母细胞瘤的相关不良反应及其防治措施.方法 选取2008年1月至2008年12月临床确诊为视网膜母细胞瘤并化疗的患儿,共154例.采用CTV化疗方案(卡铂28 mg/kg、替尼泊苷8 mg/kg、长春新碱0.05 mg/kg),观察患儿化疗时及化疗后的不良反应.结果 未摘除眼球的眼内期患儿化疗后肿瘤明显缩小.化疗时及化疗后无任何不良反应者3例,占1.9%;有不良反应按WHO化疗不良反应分级为Ⅰ度者48例,占31.2%;Ⅱ度64例,占41.6%;Ⅲ度28例,占18.2%,Ⅳ度11例,占7.1%.不良反应主要为血液系统和消化系统症状、脱发,少数病例出现发热、过敏和周围神经症状;除脱发外,其余不良反应均恢复.结论 CTV化疗方案治疗视网膜母细胞瘤安全、有效.

关 键 词:视网膜母细胞瘤  化疗  儿童

Toxicity of CTV chemotherapy for the treatment of retinoblastoma:explore prevention and treatment measures
WANG Yi-zhuo,HUANG Dong-sheng,SHI Ji-tong,ZHANG Wei-ling,ZHAO Jun-yang,LI Song-feng,GE Xin,ZHANG Yi,ZHU Xia,LI Ping,HONG Liang,ZUOU Yan,LIANG Yu. Toxicity of CTV chemotherapy for the treatment of retinoblastoma:explore prevention and treatment measures[J]. The Journal of Clinical Pediatrics, 2011, 29(9). DOI: 10.3969/j.issn.1000-3606.2011.09.022
Authors:WANG Yi-zhuo  HUANG Dong-sheng  SHI Ji-tong  ZHANG Wei-ling  ZHAO Jun-yang  LI Song-feng  GE Xin  ZHANG Yi  ZHU Xia  LI Ping  HONG Liang  ZUOU Yan  LIANG Yu
Affiliation:WANG Yi-zhuo1,HUANG Dong-sheng1,SHI Ji-tong2,ZHANG Wei-ling1,ZHAO Jun-yang2,LI Song-feng2,GE Xin2,ZHANG Yi1,ZHU Xia1,LI Ping1,HONG Liang1,ZUOU Yan1,LIANG Yu1(1.Pediatric Department,2.Ophthalmology Department,Beijing Tongren Hospital,The Capital Medical University,Beijing 100730,China)
Abstract:Objective To observe the related toxicity of CTV(carboplatin,teniposide,vincristine) chemotherapy as a conditioning regimen in patients with retinoblastoma,and explore the prevention and treatment measures.Methods 154 cases of retinoblastoma who undertook chemotherapy were collected from January to December 2008.All patients received CTV chemotherapy(carboplatine 28 mg/kg,teniposide 8 mg/kg and vincristine 0.05 mg/kg)as a conditioning regimen,and the side effects were observed.The toxicity was evaluated acc...
Keywords:retinoblastoma  chemotherapy  children  
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