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HOAP与AA联合治疗急性非淋巴细胞白血病——14例初步报告

[Combination treatment of acute non-lymphocytic leukemia with HOAP and AA--preliminary report of 14 cases].

作者信息

Zhang G Z

机构信息

Zhongshan Hospital, Shanghai Medical College.

出版信息

Zhonghua Zhong Liu Za Zhi. 1991 Jan;13(1):52-4.

PMID:1889339
Abstract

Fourteen patients with acute non-lymphocytic leukemia (ANLL) were alternately treated with HOAP (harritonine, oncovin, Ara-C and prednisone) and AA (adriamycin and Ara-C). The complete response rate was 64.3% (9/14). Four in 5 previously untreated patients and 5 in 9 patients with relapse achieved complete response. The side effects were weakness, gastrointestinal disturbance, bone marrow suppression and pancytopenia, which lasted for 2-3 weeks after discontinuation of treatment. Sinus tachycardia was noted in 3 cases and inverted T wave in 2. The authors consider that this may be a treatment of choice in ANLL because of its high response rate, shorter attainment to complete remission and mild side effects. But the long term results still need to be studied.

摘要

14例急性非淋巴细胞白血病(ANLL)患者交替接受HOAP(三尖杉酯碱、长春新碱、阿糖胞苷和泼尼松)和AA(阿霉素和阿糖胞苷)治疗。完全缓解率为64.3%(9/14)。5例初治患者中有4例、9例复发患者中有5例获得完全缓解。副作用包括乏力、胃肠道紊乱、骨髓抑制和全血细胞减少,停药后持续2至3周。3例出现窦性心动过速,2例出现T波倒置。作者认为,由于其缓解率高、达到完全缓解所需时间短且副作用轻微,这可能是ANLL的一种治疗选择。但长期结果仍需研究。

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