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低剂量因子VIII用于血友病性关节病成人患者

Low-dose factor VIII in adults with haemophilic arthropathy.

作者信息

Harris R I, Stuart J

出版信息

Lancet. 1979 Jan;1(8107):93-4. doi: 10.1016/s0140-6736(79)90075-8.

DOI:10.1016/s0140-6736(79)90075-8
PMID:84140
Abstract

27 adults with haemophilic arthropathy infused freeze-dried factor-VIII concentrate at a mean initial dose of 7.3 and 5.5 units/kg, respectively, during two successive 6-month periods of home therapy. A single infusion at either dosage level successfully terminated over 80% of bleeds. A 32% reduction in use of concentrate was achieved at the lower dose, with a cost saving equivalent to pounds 30 000 per annum and with no apparent short-term clinical disadvantage. Thus low-dose therapy can be successfully applied to severely affected adult patients with established haemophilic arthropathy.

摘要

27名患有血友病性关节病的成年人在两个连续的6个月家庭治疗期间,分别以平均初始剂量7.3单位/千克和5.5单位/千克输注冻干因子VIII浓缩物。两种剂量水平的单次输注均成功终止了超过80%的出血。较低剂量时浓缩物的使用量减少了32%,每年节省成本相当于30000英镑,且没有明显的短期临床劣势。因此,低剂量疗法可成功应用于患有已确诊血友病性关节病的重度成年患者。

相似文献

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Low-dose factor VIII in adults with haemophilic arthropathy.低剂量因子VIII用于血友病性关节病成人患者
Lancet. 1979 Jan;1(8107):93-4. doi: 10.1016/s0140-6736(79)90075-8.
2
Clinical experience with polyelectrolyte-fractionated porcine factor VIII concentrate in the treatment of hemophiliacs with antibodies to factor VIII.聚电解质分级猪源凝血因子VIII浓缩物治疗血友病伴VIII因子抗体患者的临床经验
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Is on-demand treatment effective in patients with severe haemophilia?按需治疗对重症血友病患者有效吗?
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Home-delivered ultrasound monitoring for home treatment of haemarthrosis in haemophilia A.血友病A关节积血家庭治疗的家庭超声监测
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Efficacy of self-therapy in hemophilia. A study of 72 patients with hemophilia A and B.血友病自我治疗的疗效。一项针对72例甲型和乙型血友病患者的研究。
N Engl J Med. 1974 Dec 26;291(26):1381-4. doi: 10.1056/NEJM197412262912604.
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A double-blind controlled trial of two dose levels of factor VIII in the treatment of high risk haemarthroses in haemophilia A.一项关于两种剂量水平的凝血因子VIII治疗甲型血友病高风险关节积血的双盲对照试验。
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The identification of high risk knee bleeds in adolescents with severe haemophilia A.重度甲型血友病青少年患者高风险膝关节出血的识别
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Successful angiographic embolization of recurrent elbow and knee joint bleeds in seven patients with severe haemophilia.对7例重度血友病患者复发性肘关节和膝关节出血进行血管造影栓塞术取得成功。
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Management of haemophilic haemarthrosis.血友病性关节积血的管理
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