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雄异胆烷醇酮与泼尼松龙治疗重症骨髓衰竭患者

Aetiocholanolone and prednisolone therapy in patients with severe bone-marrow failure.

作者信息

Besa E C, Wolff S M, Dale D C, Gardner F H

出版信息

Lancet. 1977 Apr 2;1(8014):728-30. doi: 10.1016/s0140-6736(77)92170-5.

DOI:10.1016/s0140-6736(77)92170-5
PMID:66522
Abstract

Ten patients with bone-marrow failure from myelofibrosis, aplastic anaemia, paroxysmal nocturnal haemoglobinuria, and "hairy cell" leukaemia, who had failed to respond to androgens and/or glucocorticosteroids, were treated with a combination of aetiocholanolone and prednisolone. All patients except one with aplastic anaemia responded with an increase in reticulocytes, haematocrit, red blood cell mass, and blood neutrophils and platelets. These data suggest that aetiocholanolone, and similar 5beta-hydroxy steroids, may be valuable in treating certain patients with chronic marrow failure.

摘要

10名患有骨髓纤维化、再生障碍性贫血、阵发性夜间血红蛋白尿和“毛细胞”白血病导致骨髓衰竭的患者,对雄激素和/或糖皮质激素治疗无效,接受了本胆烷醇酮和泼尼松龙联合治疗。除1例再生障碍性贫血患者外,所有患者的网织红细胞、血细胞比容、红细胞量、血液中性粒细胞和血小板均有所增加。这些数据表明,本胆烷醇酮以及类似的5β-羟基类固醇可能对治疗某些慢性骨髓衰竭患者有价值。

相似文献

1
Aetiocholanolone and prednisolone therapy in patients with severe bone-marrow failure.雄异胆烷醇酮与泼尼松龙治疗重症骨髓衰竭患者
Lancet. 1977 Apr 2;1(8014):728-30. doi: 10.1016/s0140-6736(77)92170-5.
2
Successful treatment of severe refractory aplastic anemia with 3-beta etiocholanolone and nandrolone decanoate.用3-β-表雄酮和癸酸诺龙成功治疗严重难治性再生障碍性贫血。
Am J Hematol. 1989 Jul;31(3):216-8. doi: 10.1002/ajh.2830310315.
3
Paroxysmal nocturnal haemoglobinuria in aplastic anaemia.再生障碍性贫血中的阵发性夜间血红蛋白尿
Clin Haematol. 1978 Oct;7(3):541-53.
4
[Etiocholanolone-prednisolone combination in the therapy of certain bone marrow insufficiency diseases].[雄诺龙-泼尼松龙联合疗法治疗某些骨髓功能不全疾病]
Haematologica. 1980 Jun;65(3):414-5.
5
Paroxysmal Nocturnal Haemoglobinuria and its association with marrow aplasia--a case report.阵发性夜间血红蛋白尿及其与骨髓再生障碍的关联——病例报告
J Pak Med Assoc. 1989 Oct;39(10):275-7.
6
Paroxysmal nocturnal haemoglobinuria and chronic myeloid leukaemia in the same patient.同一患者同时患有阵发性夜间血红蛋白尿和慢性粒细胞白血病。
Scand J Haematol. 1973;10(5):384-9. doi: 10.1111/j.1600-0609.1973.tb00086.x.
7
The aplastic anaemia--paroxysmal nocturnal haemoglobinuria syndrome.再生障碍性贫血-阵发性夜间血红蛋白尿综合征
Br J Haematol. 1967 Mar;13(2):236-51. doi: 10.1111/j.1365-2141.1967.tb08736.x.
8
Androstane therapy to treat aplastic anaemia in adults: an uncontrolled pilot study.雄甾烷疗法治疗成人再生障碍性贫血:一项非对照试验性研究。
Br J Haematol. 1987 Mar;65(3):295-300. doi: 10.1111/j.1365-2141.1987.tb06856.x.
9
Cure of aplastic anaemia in paroxysmal nocturnal haemoglobinuria by marrow transfusion from identical twin: Failure of peripheral-leucocyte transfusion to correct marrow aplasia.通过同卵双胞胎的骨髓输血治愈阵发性夜间血红蛋白尿中的再生障碍性贫血:外周白细胞输血未能纠正骨髓再生障碍。
Lancet. 1979 May 5;1(8123):945-7. doi: 10.1016/s0140-6736(79)91720-3.
10
A clinico-haematologic profile of paroxysmal nocturnal haemoglobinuria.阵发性夜间血红蛋白尿的临床血液学特征
J Assoc Physicians India. 1991 Oct;39(10):741-3.

引用本文的文献

1
In vitro CFU-E and BFU-E responses to androgen in bone marrow from children with primary hypoproliferative anaemia: a possible therapeutic assay.
Eur J Pediatr. 1986 Feb;144(5):467-71. doi: 10.1007/BF00441740.
2
The influence of steroid hormone metabolites on the in vitro development of erythroid colonies derived from human bone marrow.类固醇激素代谢产物对源自人骨髓的红系集落体外发育的影响。
J Exp Med. 1979 Jun 1;149(6):1314-25. doi: 10.1084/jem.149.6.1314.