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用大剂量环孢素治疗激素不敏感急性排斥的体会
引用本文:周令芳,凌建煜,邱丰,陈海戈. 用大剂量环孢素治疗激素不敏感急性排斥的体会[J]. 中国临床医学, 2000, 7(4): 407-408,410
作者姓名:周令芳  凌建煜  邱丰  陈海戈
作者单位:1. 上海第二医科大学附属宝钢医院肾内科,201900
2. 上海第二医科大学附属仁济医院泌尿科,201204
摘    要:目的:探讨不环孢素替代生物制吕作为抗激素急性排斥的二线药物的可能性及意义。方法:13例对激素不敏感急性排斥患者行环孢素冲击治疗(9~10mg.kg.d共同3d,然后逐渐减量)。结果:13例激素不敏感急性排斥者经大剂量环孢素冲击治疗后,10例有效,其血清肌酐值与急性排斥后及激素冲击治疗后相比,均有显著差异,有效率达76.9%。结论:环孢素可替代生物制品作为抗激素急性排斥的二线药物应用于临床。

关 键 词:肾移植 急性排斥 环孢素 大剂量

Clinical Investigation of Cyclosporin in the Treatment of Acute Rejection Patients Who are not Sensitive to Adrenocortical Hormone
Zhou Lingfang,Ling Jianyue,Qin fen,et al. Clinical Investigation of Cyclosporin in the Treatment of Acute Rejection Patients Who are not Sensitive to Adrenocortical Hormone[J]. Chinese Journal Of Clinical Medicine, 2000, 7(4): 407-408,410
Authors:Zhou Lingfang  Ling Jianyue  Qin fen  et al
Abstract:Objective: To observe the effects of Cyclosporin in the treatment of anti - hormone acut rejection (AHAR). Methods: Thirteen cases of AHAR was recover Neoral. Cyclosporin was administered intravenously at 9 - 10 mg/kg. d for three days, then decrease gradually. Results: In analysis of data, significant differences of 10 cases serum creatinine concentration (S - cr cone) were found in between after treated by Cyclosporin and AR (P = 0. 0136), between after treated by Cyclosporin and after treated by hormone (P = 0. 0036). There are ten cases effective, three cases invalid. The effective rate reached 76. 9 %. Conclusion: Cyclosporin can replace the biological products for the second drugs in the treatment of the AHAR.
Keywords:Cyclosporin Kidney Transplantion Acute Rejection
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