氟达拉滨为主方案治疗难治复发急性白血病

目的　观察氟达拉滨 (Flu)、阿糖胞苷 (Ara C)及粒细胞集落刺激因子 (G CSF) (FLAG)方案对难治复发急性白血病 (AL)的疗效 ,观察骨髓抑制时间以及不良反应。方法　Flu 30mg·m-2 ·d-1,3～ 5d ;Ara C 1.5g·m-2 ·d-1,5d ;在WBC <1× 10 9/L时用G CSF 5 μg·kg-1·d-1直至WBC >1×10 9/L。治疗 7例 (10例次 )难治复发AL。结果　 10例次中有 9例次有效 ,无效 1例 ,早期死亡 1例。中性粒细胞最低时间在开始用药后 5～ 12d ,持续时间 5～ 34d ,血小板最低时间在开始用药后 5～ 18d ,持续时间 5～ 36d。不良反应包括ALT升高、发热、腹泻。结论　FLAG方案治疗难治复发AL疗效显著 ,为患者进行造血干细胞移植赢得了时机。

The therapeutic effects of FLAG regime for refractory and relapsing acute leukemia

OBJECTIVE: To investigate the therapeutic effects of FLAG regimen for refractory and relapsing acute leukemia. METHODS: Fludarabine 30 mg.m(-2).d(-1), 3 - 5 days, Ara-C 1.5 g.m(-2).d(-1), 5 d and, G-CSF 5 microg.kg(-1).d(-1) were used to treat 7 cases (10 times) of refractory and relapsed leukemia. RESULTS: Of the 10 times, nine showed response to therapy; one case died of complication. Neutropenia begin at the time of 5 - 12 days after the regimen initiating and last 5 - 34 days, thrombocytopenia begin at 5 - 18 days and last 5 - 36 days. The adverse reaction includes hyperamino transferase, pyrexia and diarrhea. CONCLUSION: FLAG shows obvious effects for refractory and relapsing acute leukemia and gains time for hematopoietic stem cell transplantation.