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成人急性非淋巴细胞白血病的治疗结果(作者译)

[Results of treating acute nonlymphoblastic leukaemia in adults (author's transl)].

作者信息

Hossfeld D K, Faltermeier M T, Schmidt C G

出版信息

Dtsch Med Wochenschr. 1979 Nov 9;104(45):1595-9. doi: 10.1055/s-0028-1129151.

Abstract

Between July 1974 and December 1976 a total of 69 patients were treated for acute nonlymphoblastic leukaemia. The mean age was 42 years. Seven had been previously treated. Induction treatment with daunoblastin and cytarabine was given to 67 patients. It produced complete remission in 37 (55.2%) and partial remission in two. Twelve patients received a minimum of two courses of induction treatment without remission (definite treatment failures). Sixteen patients died during the first 30 days after onset of treatment. Treatment to maintain remission consisted of cytarabine and alternating 6-thioguanine, cyclophosphamide, lomustin and daunoblastin. Treatment could be continued as planned in only a quarter of the patients, because of serious side effects in the others. One year after conclusion of the study (31. 12.77) the median remission period was 42, median survival time for all patients 33 weeks (73.5 weeks for those responding and 8 weeks for those not responding to treatment). Age, fever, and chromosomal status of bone-marrow cells had an effect on prognosis.

摘要

1974年7月至1976年12月期间,共有69例急性非淋巴细胞白血病患者接受了治疗。平均年龄为42岁。其中7例曾接受过治疗。67例患者接受了柔红霉素和阿糖胞苷的诱导治疗。37例(55.2%)达到完全缓解,2例达到部分缓解。12例患者接受了至少两个疗程的诱导治疗但未缓解(明确的治疗失败)。16例患者在治疗开始后的前30天内死亡。维持缓解的治疗包括阿糖胞苷以及交替使用硫鸟嘌呤、环磷酰胺、洛莫司汀和柔红霉素。由于其他患者出现严重副作用,只有四分之一的患者能够按计划继续治疗。研究结束后一年(1977年12月31日),中位缓解期为42周,所有患者的中位生存时间为33周(缓解患者为73.5周,未缓解患者为8周)。年龄、发热和骨髓细胞的染色体状态对预后有影响。

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