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[采用123I-间碘苄胍心肌单光子发射计算机断层扫描评估接受COP-BLAM和粒细胞集落刺激因子治疗的老年非霍奇金淋巴瘤患者的心脏毒性]

[Assessment of cardiac toxicity by 123I-MIBG myocardial SPECT in elderly non-Hodgkin lymphoma patients treated with COP-BLAM and G-CSF].

作者信息

Niitsu N, Umeda M

机构信息

First Department of Internal Medicine, Toho University School of Medicine, Tokyo, Japan.

出版信息

Rinsho Ketsueki. 1995 Nov;36(11):1326-8.

PMID:8691577
Abstract

COP-BLAM chemotherapy with concomitant G-CSF was performed on patients 65 or older with non-Hodgkin's lymphoma (NHL), and cardiac sympathetic disorders due to the chemotherapeutic agents were studied using 123I-MIBG (metaiodobenzylguanidine) myocardial SPECT (single photon emission CT). The results showed no correlation between the ejection fraction due to echocardiography and the total dose of adriamycin (ADR). However, there was a positive correlation between the total dose of ADR and the washout rate, and the possibility of cardiac sympathetic disorders caused by ADR was suggested.

摘要

对65岁及以上的非霍奇金淋巴瘤(NHL)患者进行COP-BLAM化疗并同时使用粒细胞集落刺激因子(G-CSF),并使用123I-间碘苄胍(MIBG)心肌单光子发射计算机断层扫描(SPECT)研究化疗药物引起的心脏交感神经紊乱。结果显示,超声心动图测得的射血分数与阿霉素(ADR)总剂量之间无相关性。然而,ADR总剂量与洗脱率之间存在正相关,提示存在ADR引起心脏交感神经紊乱的可能性。

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