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儿童和成人急性髓性白血病的治疗。

Treatment of acute myelogenous leukemia in children and adults.

作者信息

Weinstein H J, Mayer R J, Rosenthal D S, Camitta B M, Coral F S, Nathan D G, Frei E

出版信息

N Engl J Med. 1980 Aug 28;303(9):473-8. doi: 10.1056/NEJM198008283030901.

Abstract

We designed a protocol to address the problem of relapse from complete remission in acute myelogenous leukemia. Patients in remission were treated for 14 months; early and later intensification of chemotherapy, sequential drug combinations, and high-dose continuous infusions of cytarabine were included. Eighty-three consecutive patients under 50 years of age were entered into this study from February 1976 to October 1979. The rate of complete remission is 70 per cent. A Kaplan-Meier analysis predicts that 49 +/- 17 per cent of patients (mean +/- 2 S.D.) who entered complete remission will remain free of disease at two years. Durations of complete remission for patients in the 0 to 17-year and 18 to 50-year age groups are comparable.

摘要

我们设计了一项方案,以解决急性髓性白血病完全缓解后复发的问题。缓解期患者接受了14个月的治疗;包括早期和晚期强化化疗、序贯联合用药以及大剂量阿糖胞苷持续输注。1976年2月至1979年10月,83例年龄在50岁以下的连续患者进入本研究。完全缓解率为70%。一项Kaplan-Meier分析预测,进入完全缓解的患者中,49±17%(均值±2标准差)在两年时仍无疾病。0至17岁和18至50岁年龄组患者的完全缓解持续时间相当。

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