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[严重再生障碍性贫血患者体外试验与抗淋巴细胞球蛋白治疗临床反应的相关性研究]

[Correlation study of in vitro tests with clinical response to ALG therapy in patients with severe aplastic anemia].

作者信息

Ji S Q, Zu M, Wu Z Z

出版信息

Zhonghua Nei Ke Za Zhi. 1989 Apr;28(4):222-5, 252.

PMID:2805960
Abstract

Fourteen patients with severe aplastic anemia were treated with antilymphocyte globulin (ALG). Eight were studied with co-culture of patient's lymphocytes with normal bone marrow cells. Suppression of CFU-C was prevented by pretreatment of T lymphocytes with anti-T lymphocyte McAb in four patients and concordance with clinical outcome was observed only in two patients. Conclusive in vivo therapy result for this correspondence are lacking. Seven patients received fetal liver cell suspension infusion 24-36 hours after completing ALG therapy and remission were "more complete" in three cases with good response. Response of treatment in the fourteen patients was as follows: eight had complete or partial responses and the remaining did not respond or died (42.8%).

摘要

14例重型再生障碍性贫血患者接受了抗淋巴细胞球蛋白(ALG)治疗。其中8例患者的淋巴细胞与正常骨髓细胞进行了共培养。4例患者通过用抗T淋巴细胞单克隆抗体预处理T淋巴细胞预防了集落形成单位 - 粒细胞(CFU - C)的抑制,仅2例患者观察到与临床结果一致的情况。目前尚缺乏关于这种对应关系的确切体内治疗结果。7例患者在完成ALG治疗后24 - 36小时接受了胎肝细胞悬液输注,3例反应良好的患者获得了“更完全”的缓解。14例患者的治疗反应如下:8例有完全或部分反应,其余患者无反应或死亡(42.8%)。

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