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[成人急性淋巴细胞白血病的治疗结果及预后因素]

[Therapeutic results and prognostic factors in acute lymphatic leukemia in the adult].

作者信息

Cavalli F, Hartmann H, Tschopp L, Sauter C, Alberto P

出版信息

Schweiz Med Wochenschr. 1977 Oct 1;107(39):1361-6.

PMID:269498
Abstract

Induction chemotherapy consisting of vincristine, prednisone and L-asparaginase was given to 22 adult patients with acute lymphatic leukemia. Manintenance treatment consisted of methotrexate, 6-mercaptopurine, prednisone and vincristine. Of the 22 patients treated, 14 had a complete remission. The median remission duration was 14 months and the median survival 20 months. 8 further patients were included in an attempt to determine the significance of prognostic factors, but none of the parameters studied influence the course of disease with statistical significance. In general, younger patients and those with lower leukocyte counts at the time of diagnosis seemed to fare better.

摘要

对22例成年急性淋巴细胞白血病患者给予由长春新碱、泼尼松和L-天冬酰胺酶组成的诱导化疗。维持治疗包括甲氨蝶呤、6-巯基嘌呤、泼尼松和长春新碱。在接受治疗的22例患者中,14例完全缓解。缓解期的中位数为14个月,生存期的中位数为20个月。另外8例患者被纳入研究以确定预后因素的意义,但所研究的参数均未对疾病进程产生具有统计学意义的影响。总体而言,年龄较小的患者以及诊断时白细胞计数较低的患者似乎预后较好。

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