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[急性白血病中的感染问题:起源、治疗及保护性隔离预防]

[The problem of infections in acute leukemias: origin, therapy and prevention by protective isolation].

作者信息

Delsignore R, Baroni M C, Rizzoli V, Quaini F, Mangoni L, Butturini U

出版信息

Ateneo Parmense Acta Biomed. 1977;48(5):381-403.

PMID:418788
Abstract

The most important factors of infection in leukemic patients and immunodepressive effect of chemotherapy are evaluated. The microorganisms causing infections most frequently are considered. The associations of antibiotics for therapy of severe infections are reported. The employement of granulocyte transfusion, in patients with severe neutropenia and infections antibiotico-resistents, is also considered. Dealing with patients liable of infections the possibility of infection prevention and therapy in protected environment is faced. 12 patients affected by acute nonlymphocitic leukemia were treated with cytostatic drugs to induce remission in laminar air flow room. The number of infections is significantly decreased in comparison with of patients treated in open ward. In protected environment it is possible to treat patients with the maximal dose of antiblastic drugs without interruption obtaining higher number of complete remission.

摘要

评估了白血病患者感染的最重要因素以及化疗的免疫抑制作用。考虑了最常引起感染的微生物。报告了用于治疗严重感染的抗生素联合用药情况。还考虑了在严重中性粒细胞减少和耐抗生素感染患者中使用粒细胞输注的情况。在处理易感染患者时,面临在保护环境中预防和治疗感染的可能性。12例急性非淋巴细胞白血病患者在层流空气净化室接受细胞抑制药物治疗以诱导缓解。与在开放式病房治疗的患者相比,感染数量显著减少。在保护环境中,可以不间断地使用最大剂量的抗白血病药物治疗患者,从而获得更高的完全缓解率。

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