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儿童急性淋巴细胞白血病合并甲型 H1N1 流感大流行。

Pandemic influenza A (2009 H1N1) in children with acute lymphoblastic leukaemia.

机构信息

Departments of Paediatric Haematology, Hospital Sant Joan de Déu de Barcelona, Esplugues de Llobregat, Barcelona, Spain.

出版信息

Br J Haematol. 2010 Jun;149(6):874-8. doi: 10.1111/j.1365-2141.2010.08178.x. Epub 2010 Mar 21.

Abstract

Pandemic influenza A (2009-H1N1) usually results in mild clinical illness, but in some individuals it can be life-threatening. There are no reports of this disease among paediatric patients with acute lymphoblastic leukaemia (ALL). We report ten consecutive patients with ALL and pandemic influenza treated in a single institution. Median age was 7 years (range: 3-12). All were treated with oseltamivir. There were no deaths. Two patients under intensive chemotherapy developed pneumonia and one required ventilatory support. ALL patients under maintenance treatment had mild disease. In conclusion, in our series only patients under intensive treatment developed a moderate to severe disease.

摘要

甲型流感大流行(2009-H1N1)通常导致轻度临床疾病,但在某些个体中,它可能危及生命。在患有急性淋巴细胞白血病(ALL)的儿科患者中,尚无关于这种疾病的报告。我们报告了在一家机构治疗的连续 10 例 ALL 合并大流行流感患者。中位年龄为 7 岁(范围:3-12 岁)。所有患者均接受奥司他韦治疗。无死亡病例。2 例强化化疗患者发生肺炎,1 例需要呼吸机支持。接受维持治疗的 ALL 患者病情较轻。总之,在我们的系列研究中,只有接受强化治疗的患者出现中度至重度疾病。

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