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[同种异体骨髓移植治疗骨髓再生障碍]

[Treatment of bone marrow aplasia by allogenic bone marrow grafts].

作者信息

Gluckman E, Bussel A, Benbunan M, Broquet M A, Schaison G, Dausset J, Bernard J

出版信息

Nouv Presse Med. 1975 Apr 19;4(16):1177-82.

PMID:240152
Abstract

Three patients with severe aplastic anemia were treated by bone marrow transplantation using the method described by Santos and Thomas. Two of the patients, both successfully grafted have survived for more than 5 and 6 months respectively. Chimerism was proved by cytogenetic analysis and erythrocytic phenotypes. In one case, a severe graft versus host reaction was cured with ATG and prednisone. Graft rejection in the third case was related to the immunisation caused by many previous transfusions. Although bone marrow grafting is limited by the necessity of using a matched sibling as donor, its success this far is very encouraging and represents a new hope for the treatment of aplastic anemia.

摘要

三名严重再生障碍性贫血患者采用桑托斯和托马斯描述的方法进行了骨髓移植治疗。其中两名患者移植成功,分别存活了5个多月和6个多月。通过细胞遗传学分析和红细胞表型证实了嵌合体的存在。在一例中,严重的移植物抗宿主反应通过抗胸腺细胞球蛋白和泼尼松治愈。第三例中的移植排斥反应与此前多次输血引起的免疫反应有关。尽管骨髓移植因必须使用匹配的同胞作为供体而受到限制,但到目前为止其成功非常令人鼓舞,为再生障碍性贫血的治疗带来了新希望。

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