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[重型地中海贫血的持续皮下去铁胺治疗。血色素沉着症的减轻及肝功能的改善]

[Continuous subcutaneous deferoxamine treatment in thalassemia major. Decrease of hemosiderosis and improvement of liver function].

作者信息

Krüger N, Ullrich D, Tillmann W, Schröter W

出版信息

Dtsch Med Wochenschr. 1985 Nov 29;110(48):1848-51. doi: 10.1055/s-2008-1069100.

Abstract

Liver function during continuous subcutaneous deferoxamine therapy was investigated in 29 patients with homozygotic beta-thalassaemia. Average duration of treatment was 26 months (range 8-51 months). A decrease in haemosiderosis and an improvement in liver function was observed in 27 patients: Mean liver density, determined by computed tomography, decreased from 98 to 84 HU, mean serum ferritin concentration fell from 8028 to 3661 ng/ml, mean serum GOT activity from 44 to 13 U/l and GPT from 51 to 16 U/l. Mean cholinesterase activity, reflecting the improved synthetic activity of the liver, increased from 4063 to 4530 U/l.

摘要

对29例纯合子β地中海贫血患者进行了连续皮下注射去铁胺治疗期间的肝功能研究。平均治疗时间为26个月(范围8 - 51个月)。27例患者出现血色素沉着症减轻和肝功能改善:通过计算机断层扫描测定的平均肝脏密度从98 HU降至84 HU,平均血清铁蛋白浓度从8028 ng/ml降至3661 ng/ml,平均血清谷草转氨酶活性从44 U/l降至13 U/l,谷丙转氨酶从51 U/l降至16 U/l。反映肝脏合成活性改善的平均胆碱酯酶活性从4063 U/l增至4530 U/l。

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