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粒细胞巨噬细胞集落刺激因子治疗急性白血病缓解诱导化疗后发热性中性粒细胞减少症。

Granulocyte-macrophage colony stimulating factor treatment of febrile neutropenia following remission induction chemotherapy for acute leukemia.

作者信息

Cucuianu A, Petrov L, Ghiurt A, Vasilache A

机构信息

Oncological Institute, Malignant Hemopathies Department, Cluj-Napoca, Romania.

出版信息

Rom J Intern Med. 1996 Jan-Jun;34(1-2):97-103.

PMID:8908636
Abstract

Recombinant human granulocyte macrophage colony stimulating factor (GM-CSF) was given for 2-6 days in 10 patients with febrile neutropenias following remission induction chemotherapy for acute leukemia (6 acute lymphoblastic and 4 acute myeloid leukemias) in which, broad spectrum and targeted antibiotherapy was ineffective. In 7 patients, the addition of GM-CSF helped overcome the serious infectious complications, leading to an accelerated neutrophil recovery averaging 18.4 days, significantly faster than in a historic group of 9 similar patients in whom GM-CSF was not given Side-effects of GM-CSF treatment were minor and reversible. GM-CSF treatment did not have any significant effect on the achievement of complete remission status.

摘要

重组人粒细胞巨噬细胞集落刺激因子(GM-CSF)应用于10例急性白血病(6例急性淋巴细胞白血病和4例急性髓细胞白血病)缓解诱导化疗后出现发热性中性粒细胞减少症的患者,用药2至6天,这些患者在接受广谱和靶向抗微生物治疗均无效。7例患者加用GM-CSF有助于克服严重的感染并发症,使中性粒细胞恢复加快,平均为18.4天,明显快于未使用GM-CSF的9例类似历史对照患者。GM-CSF治疗的副作用轻微且可逆。GM-CSF治疗对完全缓解状态的实现没有任何显著影响。

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1
Granulocyte-macrophage colony stimulating factor treatment of febrile neutropenia following remission induction chemotherapy for acute leukemia.粒细胞巨噬细胞集落刺激因子治疗急性白血病缓解诱导化疗后发热性中性粒细胞减少症。
Rom J Intern Med. 1996 Jan-Jun;34(1-2):97-103.
2
Hematopoietic growth factors in patients receiving intensive chemotherapy for malignant disorders: studies of granulocyte-colony stimulating factor (G-CSF), granulocyte-macrophage colony stimulating factor (GM-CSF), interleukin-3 (IL-3) and Flt-3 ligand (Flt3L).接受恶性疾病强化化疗患者的造血生长因子:粒细胞集落刺激因子(G-CSF)、粒细胞-巨噬细胞集落刺激因子(GM-CSF)、白细胞介素-3(IL-3)和Flt-3配体(Flt3L)的研究。
Eur Cytokine Netw. 2001 Apr-Jun;12(2):231-8.
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Rev Invest Clin. 1999 Mar-Apr;51(2):77-80.
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A randomized controlled study of granulocyte colony stimulating factor after intensive induction and consolidation therapy in patients with acute lymphoblastic leukemia. Japan Adult Leukemia Study Group.急性淋巴细胞白血病患者强化诱导和巩固治疗后粒细胞集落刺激因子的随机对照研究。日本成人白血病研究组。
Int J Hematol. 1993 Aug;58(1-2):73-81.
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[Granulocyte colony-stimulating factor in the treatment of febrile neutropenia].[粒细胞集落刺激因子治疗发热性中性粒细胞减少症]
Gac Med Mex. 2000 Mar-Apr;136(2):99-105.
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J Med. 1995;26(5-6):241-52.
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rHuGM-CSF after high-dose chemotherapy in post-remission acute leukemia.缓解期后急性白血病大剂量化疗后使用重组人粒细胞巨噬细胞集落刺激因子
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J Clin Oncol. 2003 Apr 15;21(8):1612-7. doi: 10.1200/JCO.2003.07.129.
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[Use of rHu GM-CSF (Leucomax) in treatment of neutropenia during intensive chemotherapy for acute lymphoblastic leukemia].[重组人粒细胞巨噬细胞集落刺激因子(乐保美)在急性淋巴细胞白血病强化化疗期间治疗中性粒细胞减少症中的应用]
Acta Haematol Pol. 1994;25(2):111-8.
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Pharmacotherapy. 2005 Mar;25(3):372-8. doi: 10.1592/phco.25.3.372.61608.