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急性白血病中的粒细胞输注。粒细胞生成的再生作为生存的决定因素。

Granulocyte transfusions in acute leukaemia. Regeneration of granulopoiesis as determining factor of survival.

作者信息

Pflieger H, Arnold R, Bhaduri S, Dietrich M, Heimpel H, Kubanek B, Rasche H, Wiesneth M

出版信息

Scand J Haematol. 1981 Mar;26(3):215-20. doi: 10.1111/j.1600-0609.1981.tb01649.x.

Abstract

40 patients with acute leukaemia and severe granulocytopenia were treated with granulocyte transfusions for bacteriologically documented or clinically suspected septicaemia. The patients received an average of 5 transfusions each with 2.1 X 10(10) granulocytes per m2 body surface area per day. 26 patients showed clinical benefit from transfusion therapy as documented by the course of blood cultures, local lesions and fever. Only patients with regeneration of granulopoiesis had definite benefit from granulocyte transfusions. All other patients died ultimately from septicaemia.

摘要

40例急性白血病合并严重粒细胞减少症患者因细菌学确诊或临床怀疑败血症接受了粒细胞输注治疗。患者平均每人接受5次输注,每天每平方米体表面积输注2.1×10¹⁰个粒细胞。26例患者的输血治疗显示出临床获益,这通过血培养过程、局部病变和发热得到证实。只有粒细胞生成再生的患者从粒细胞输注中获得了明确的益处。所有其他患者最终均死于败血症。

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