Bernard J F, Renoux M, Boivin P
Sem Hop. 1976 Jan 9;52(2):111-3.
This retrospective study of 44 attacks of fever during the agranulocytic stage of treatment of acute myeloblastic leukemia in adults, sought the cause of the fever, the efficacy of antibiotic associations and the efficacy of white cell transfusions. In 28 cases, the fever was associated with bacterial or mycotic infection, proved in 19 cases. Appropriate antibiotic therapy alone was able to cure the fever, whereas white cell transfusion did not seem of any use. In the 16 other cases, the fever appeared alone. Antibiotic associations were ineffective, whereas the fever was cured by white cell transfusions or cure of the agranulocytosis.
这项回顾性研究针对成人急性髓细胞白血病治疗粒细胞缺乏期出现的44次发热情况,探寻发热原因、联合使用抗生素的疗效以及白细胞输注的疗效。28例中,发热与细菌或真菌感染有关,19例得到证实。仅使用恰当的抗生素治疗就能治愈发热,而白细胞输注似乎并无作用。在其他16例中,单独出现发热。联合使用抗生素无效,而发热通过白细胞输注或粒细胞缺乏症的治愈得以缓解。