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[环孢素A在肾移植免疫抑制治疗中的应用(55例临床结果)]

[Cyclosporin A in immunosuppressive therapy of kidney transplants (clinical results in 55 patients)].

作者信息

Dean P, Boschiero L, Prati G F, Recchia G, Faccincani L, Turolla P J, Firpo M

出版信息

Chir Ital. 1987 Feb;39(1):62-70.

PMID:3301026
Abstract

The authors report the results of a clinical study of the use of cyclosporin A plus low-dose steroids in a consecutive series of 55 kidney transplants with follow-up ranging from 6 to 20 months. The clinical results (rejects, immunosuppressant side effects, 12-month survival of transplant and patient) are compared with those of a similar group of patients on "traditional" therapy (azathioprine plus high-dose steroids). The results of the study confirm the efficacy of cyclosporin A in preventing and controlling acute reject crises in the course of allogenic transplant, though many of the problematic issues related its clinico-therapeutic management remain open questions.

摘要

作者报告了一项临床研究结果,该研究对连续55例肾移植患者使用环孢素A加小剂量类固醇进行治疗,并进行了6至20个月的随访。将这些患者的临床结果(排斥反应、免疫抑制剂副作用、移植肾和患者的12个月生存率)与接受“传统”治疗(硫唑嘌呤加高剂量类固醇)的类似患者组的结果进行了比较。研究结果证实了环孢素A在预防和控制同种异体移植过程中急性排斥反应危机方面的有效性,尽管与其临床治疗管理相关的许多问题仍然悬而未决。

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