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细胞毒性药物过量的临床管理。

Clinical management of cytotoxic drug overdose.

作者信息

Thomas L L, Mertens M J, von dem Borne A E, van Boxtel C J, Veenhof C H, Veies E P

机构信息

Department of Hematology, Academic Medical Center, Amsterdam, The Netherlands.

出版信息

Med Toxicol Adverse Drug Exp. 1988 Jul-Aug;3(4):253-63. doi: 10.1007/BF03259938.

DOI:10.1007/BF03259938
PMID:3054425
Abstract

In this article the pharmacological management of accidental drug overdose is discussed, with various treatments for overdose proposed, as supported by clinical facts and speculation. Current knowledge is outlined concerning dacarbazine, nitrosourea compounds, melphalan, procarbazine, cyclophosphamide, VP-16.213, l-asparaginase (colaspase), 6-mercaptopurine, mustine (nitrogen mustard), intravenous or intrathecal methotrexate (amethopterin), cytarabine (cytosine arabinoside), fluorouracil and bleomycin.

摘要

本文讨论了意外药物过量的药物治疗方法,并根据临床事实和推测提出了各种过量用药的治疗方案。概述了关于达卡巴嗪、亚硝基脲类化合物、美法仑、丙卡巴肼、环磷酰胺、依托泊苷、左旋门冬酰胺酶(结肠酶)、6-巯基嘌呤、氮芥、静脉内或鞘内注射甲氨蝶呤(氨甲蝶呤)、阿糖胞苷(胞嘧啶阿拉伯糖苷)、氟尿嘧啶和博来霉素的现有知识。

相似文献

1
Clinical management of cytotoxic drug overdose.细胞毒性药物过量的临床管理。
Med Toxicol Adverse Drug Exp. 1988 Jul-Aug;3(4):253-63. doi: 10.1007/BF03259938.
2
Consolidation therapy for childhood acute lymphoblastic leukaemia: clinical and cellular pharmacology of cytosine arabinoside, epipodophyllotoxins and cyclophosphamide.儿童急性淋巴细胞白血病的巩固治疗:阿糖胞苷、鬼臼毒素和环磷酰胺的临床及细胞药理学
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3
[Cytostatic therapy: neurologic and psychiatric syndromes].[细胞抑制疗法:神经和精神综合征]
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4
[Principle products used in chemotherapy. Administration methods].[化疗中使用的主要产品。给药方法]
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5
[Cytostatic chemotherapy of neoplasms in children].[儿童肿瘤的细胞毒性化疗]
Pediatria (Napoli). 1971;79(1):111-37.
6
Combination chemotherapy in malignant diseases.恶性疾病的联合化疗
J R Coll Physicians Lond. 1971 Jan;5(2):167-77.
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Clinical pharmacology of anticancer drugs.抗癌药物的临床药理学
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8
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Semin Oncol. 1992 Oct;19(5):458-77.
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Chemotherapy of childhood acute lymphoblastic leukemia.
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Renal complications of cytotoxic therapy.
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引用本文的文献

1
Accidental iatrogenic intoxications by cytotoxic drugs: error analysis and practical preventive strategies.细胞毒性药物意外医源性中毒:错误分析与实用预防策略
Drug Saf. 1999 Jul;21(1):57-74. doi: 10.2165/00002018-199921010-00005.
2
Clinical features, pathogenesis and management of drug-induced seizures.药物性癫痫发作的临床特征、发病机制及管理
Drug Saf. 1990 Mar-Apr;5(2):109-51. doi: 10.2165/00002018-199005020-00004.

本文引用的文献

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Antitumor principles derived from Vinca rosea Linn. I. Vincaleukoblastine and leurosine.从长春花中提取的抗肿瘤原理。I. 长春新碱和长春质碱。
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[Dacarbazine in malignant melanoma. Rare, severe side-effect: Budd-Chiari-syndrome (author's transl)].达卡巴嗪治疗恶性黑色素瘤。罕见的严重副作用:布加综合征(作者译)
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Potentiation of carmustine-cranial irradiation-induced myelosuppression by cimetidine.西咪替丁增强卡莫司汀-全脑照射诱导的骨髓抑制作用。
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Massive vincristine overdose: failure of leucovorin to reduce toxicity.大剂量长春新碱过量:亚叶酸未能减轻毒性。
Cancer Treat Rep. 1982 Nov;66(11):1967-9.
9
The acute management of intrathecal methotrexate overdose: pharmacologic rationale and guidelines.鞘内注射甲氨蝶呤过量的急性处理:药理学原理与指南
J Pediatr. 1981 May;98(5):825-8. doi: 10.1016/s0022-3476(81)80859-1.
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High-dose VP 16-213 (NSC 141540) for the treatment of patients with previously treated acute leukemia.
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