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口服利巴韦林预防异基因骨髓移植期间丙型肝炎病毒所致严重肝病。

Oral ribavirin for prevention of severe liver disease caused by hepatitis C virus during allogeneic bone marrow transplantation.

作者信息

Ljungman P, Andersson J, Aschan J, Björkstrand B, Hägglund H, Lönnqvist B, Ringdén O, Winiarski J

机构信息

Department of Medicine, Huddinge University Hospital, Karolinska Institute, Sweden.

出版信息

Clin Infect Dis. 1996 Jul;23(1):167-9. doi: 10.1093/clinids/23.1.167.

DOI:10.1093/clinids/23.1.167
PMID:8816147
Abstract

Four allogeneic bone marrow transplant patients who were infected with hepatitis C virus (HCV) before bone marrow transplantation (BMT) were treated with oral ribavirin during and after transplantation. None of the patients had severe liver complications. One patient died early. Polymerase chain reaction analysis revealed that two patients who were HCV RNA-positive before BMT became HCV RNA-negative during therapy and remained HCV RNA-negative during 6 and 12 months of follow-up, respectively. No severe side effects of ribavirin were documented. Ribavirin therapy can be given safely to patients undergoing BMT and can result in clearance of HCV RNA.

摘要

4例在骨髓移植(BMT)前感染丙型肝炎病毒(HCV)的异基因骨髓移植患者在移植期间及移植后接受了口服利巴韦林治疗。所有患者均未出现严重肝脏并发症。1例患者早期死亡。聚合酶链反应分析显示,2例在BMT前HCV RNA阳性的患者在治疗期间转为HCV RNA阴性,分别在随访6个月和12个月时仍保持HCV RNA阴性。未记录到利巴韦林的严重副作用。利巴韦林治疗可安全用于接受BMT的患者,并可导致HCV RNA清除。

相似文献

1
Oral ribavirin for prevention of severe liver disease caused by hepatitis C virus during allogeneic bone marrow transplantation.口服利巴韦林预防异基因骨髓移植期间丙型肝炎病毒所致严重肝病。
Clin Infect Dis. 1996 Jul;23(1):167-9. doi: 10.1093/clinids/23.1.167.
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Pilot study of the combination of interferon alfa and ribavirin as therapy of recurrent hepatitis C after liver transplantation.干扰素α与利巴韦林联合治疗肝移植后复发性丙型肝炎的初步研究。
Hepatology. 1997 Aug;26(2):500-4. doi: 10.1002/hep.510260236.
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Liver disease is a major cause of mortality following allogeneic bone-marrow transplantation.肝脏疾病是异基因骨髓移植后死亡的主要原因。
Eur J Gastroenterol Hepatol. 2004 Nov;16(12):1347-54. doi: 10.1097/00042737-200412000-00019.
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Combination of interferon alfa-2b and ribavirin in liver transplant recipients with histological recurrent hepatitis C.干扰素α-2b与利巴韦林联合用于肝移植受者组织学复发丙型肝炎的治疗
Liver Transpl. 2002 Nov;8(11):1000-6. doi: 10.1053/jlts.2002.34968.
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Section 13. Short-course pretransplant antiviral therapy is a feasible and effective strategy to prevent hepatitis C recurrence after liver transplantation in genotype 2 patients.第 13 节。短程术前抗病毒治疗是预防基因型 2 患者肝移植后丙型肝炎复发的一种可行且有效的策略。
Transplantation. 2014 Apr 27;97 Suppl 8:S47-53. doi: 10.1097/01.tp.0000446277.36181.e7.
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Ribavirin as therapy for chronic hepatitis C. A randomized, double-blind, placebo-controlled trial.利巴韦林治疗慢性丙型肝炎。一项随机、双盲、安慰剂对照试验。
Ann Intern Med. 1995 Dec 15;123(12):897-903. doi: 10.7326/0003-4819-123-12-199512150-00001.
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Sofosbuvir and ribavirin prevent recurrence of HCV infection after liver transplantation: an open-label study.索磷布韦和利巴韦林可预防肝移植后 HCV 感染复发:一项开放标签研究。
Gastroenterology. 2015 Jan;148(1):100-107.e1. doi: 10.1053/j.gastro.2014.09.023. Epub 2014 Sep 28.
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New approaches to the treatment of hepatitis C virus infection after liver transplantation using ribavirin.肝移植后使用利巴韦林治疗丙型肝炎病毒感染的新方法。
J Hepatol. 1995;23 Suppl 2:22-5.
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Combined treatment with pegylated interferon (alpha-2b) and ribavirin in the acute phase of hepatitis C virus recurrence after liver transplantation.聚乙二醇化干扰素(α-2b)与利巴韦林联合治疗肝移植后丙型肝炎病毒复发急性期。
J Hepatol. 2005 Jul;43(1):53-9. doi: 10.1016/j.jhep.2005.02.015. Epub 2005 Apr 11.
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Liver function tests of recipients with hepatitis C virus infection after bone marrow transplantation.骨髓移植后丙型肝炎病毒感染受者的肝功能检查
Bone Marrow Transplant. 1994 Apr;13(4):417-22.

引用本文的文献

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J Hematol Oncol. 2013 Dec 17;6:94. doi: 10.1186/1756-8722-6-94.
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Haematologica. 2009 Feb;94(2):170-2. doi: 10.3324/haematol.2008.002048.
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Impact of hepatitis C virus seropositivity on survival after allogeneic hematopoietic stem cell transplantation for hematologic malignancies.
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Haematologica. 2009 Feb;94(2):249-57. doi: 10.3324/haematol.13756. Epub 2009 Jan 14.
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