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MAAE方案治疗难治性及复发性急性白血病临床效果观察
引用本文:胡明均,刘瑜,鲍红霞,杨婷,章正华,夏云金,万楚成. MAAE方案治疗难治性及复发性急性白血病临床效果观察[J]. 微循环学杂志, 2007, 17(2): 47-48
作者姓名:胡明均  刘瑜  鲍红霞  杨婷  章正华  夏云金  万楚成
作者单位:1. 湖北省郧阳医学院附属人民医院血液内科,十堰,442000
2. 湖北省郧阳医学院附属太和医院,十堰,442000
摘    要:目的:探讨治疗难治性及复发性急性白血病的有效方案。方法:对25例难治性及复发性急性白血病患者,采用米托蒽醌(Mx)、阿糖胞苷(AraC)、安吖啶(AMSA)和足叶乙甙(VP16)组成的MAAE方案治疗。用法:第1~3天Mx10mg/天,静脉滴注;第1~7天AraC200mg/天,静脉滴注;第1~3天AMSA75mg/天,静脉滴注;第1~4天VP16100mg/天,静脉滴注,7天为1疗程。结果:经1~3个疗程,25例患者中14例完全缓解(CR),占56%,5例部分缓解(PR),占20%,总有效率为76%。结论:MAAE方案治疗难治性及复发性急性白血病取得较好疗效,主要不良反应为骨髓移植。

关 键 词:米托蒽醌  阿糖胞苷  安吖啶  足叶乙甙  急性白血病  难治及复发性
文章编号:1005-1740(2007)02-0047-02
收稿时间:2006-11-13
修稿时间:2006-11-132007-02-08

Therapy of MAAE Regimen for Refractory and Relapsed Acute Leukemia
Hu Mingjun,Liu Yu,Bao Hongxia,et al/Affiliated Renmin Hospital of Yun yang Medical College,Shiyan Hubei. Therapy of MAAE Regimen for Refractory and Relapsed Acute Leukemia[J]. Chinese Journal of Microcirculation, 2007, 17(2): 47-48
Authors:Hu Mingjun  Liu Yu  Bao Hongxia  et al/Affiliated Renmin Hospital of Yun yang Medical College  Shiyan Hubei
Affiliation:Hu Mingjun,Liu Yu,Bao Hongxia,et al/Affiliated Renmin Hospital of Yun yang Medical College,Shiyan Hubei 442000
Abstract:Objective: To explore the best therapeutic regimen for refractory and relapsed acute leukemia(AL).Method: 25 cases of refractory and relapsed AL were treated with MAAE (Mx ,Ara-C,AMSA,VP16) regimen,which was consisted of Mx 10 mg/d (d1~3 intravenousdrop),Ara-C 200 mg/d (d1~7 intravenousdrop),AMSA 75 mg/d (d1~3 intravenousdrop) and VP16100 mg/d(d1~4 intravenousdrop).Results: In the 25 cases with refractory and relapsed acute leukemia,14 cases (56%) reached complete remission,5 patients(20%) reached partial remission,the total effective rate was 76%.Conclusion: MAAE regimen for refractory and relapsed acute leukemia can get a good result,the major side effect is marrow inhibition.
Keywords:Mitoxantrone  Cytarabine  Amsacrine  Etoposide  Acute leukemia  Refractory and relapse
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