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高剂量卡铂治疗后的肾功能障碍。

Renal dysfunction following high-dose carboplatin treatment.

作者信息

Mulder P O, Sleijfer D T, de Vries E G, Uges D R, Mulder N H

机构信息

Department of Intensive care Medicine, University Hospital, Groningen, The Netherlands.

出版信息

J Cancer Res Clin Oncol. 1988;114(2):212-4. doi: 10.1007/BF00417840.

Abstract

A case history is reported or renal failure during and after treatment with carboplatin for 3 days, total dose 750 mg/m2, in a conditioning regimen prior to autologous bone marrow transplantation. Pretreatment renal function was compromised after nephrectomy and chemotherapy with cisplatin. A decrease in glomerular filtration rate concurred with a decrease in excretion of platinum in the urine and an increase in urinary beta 2 microglobulin. Treatment with high-dose carboplatin in patients with impaired renal function and previous treatment with cisplatin may lead to further loss of renal function.

摘要

报告了1例在自体骨髓移植前的预处理方案中,接受卡铂治疗3天、总剂量750mg/m²期间及之后出现肾衰竭的病例。肾切除术后和顺铂化疗后,患者预处理时的肾功能已受损。肾小球滤过率下降的同时,尿铂排泄减少,尿β2微球蛋白增加。肾功能受损且既往接受过顺铂治疗的患者,使用大剂量卡铂治疗可能导致肾功能进一步丧失。

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本文引用的文献

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TNO-6-induced acute renal failure. A case report.TNO - 6诱导的急性肾衰竭。病例报告。
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Preclinical antitumor and toxicologic profile of carboplatin.卡铂的临床前抗肿瘤和毒理学概况。
Cancer Treat Rev. 1985 Sep;12 Suppl A:1-19. doi: 10.1016/0305-7372(85)90014-3.
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Reduced ability to clear ultrafilterable platinum with repeated courses of cisplatin.
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