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[促红细胞生成素治疗骨髓增生异常综合征和慢性淋巴细胞白血病贫血的初步结果]

[Preliminary results of erythropoietin treatment of anemia in myelodysplastic syndromes and chronic lymphocytic leukemia].

作者信息

Gałeza-Obrepalska B, Dwilewicz-Trojaczek J, Paszkowska M, Kuratowska Z

机构信息

Kliniki Hematologii AM w Warszawie.

出版信息

Pol Tyg Lek. 1996 May;51(19-22):285-8.

PMID:9289712
Abstract

Six patients with myelodysplastic syndromes (MDS) and two patients with chronic lymphocytic leukemia, all with severe anemia entered the study. Before treatment reasons of secondary anemia were excluded. Concentration of erythropoietin, iron, transferrin, ferritin were measured before, and in the second and the third month of the trial. A r-HuEpo dosage of 80 U/kg was administered intravenously three times weekly for a minimum of three months. Four patients finished the study. The increase in hemoglobin concentration by 6 g% was observed in one patient with MDS subtype RA. In three other patients who apart from r-HuEpo received chemotherapy transfusion requirements decreased by 90%. Together with increase in hemoglobin decrease in ferritin was observed. The correlation between r-HuEpo and endogenous erythropoietin and ferritin was defined.

摘要

6例骨髓增生异常综合征(MDS)患者和2例慢性淋巴细胞白血病患者,均患有严重贫血,进入本研究。治疗前排除继发性贫血的原因。在试验前、第二个月和第三个月测量促红细胞生成素、铁、转铁蛋白、铁蛋白的浓度。以80 U/kg的r-HuEpo剂量每周静脉注射3次,至少持续3个月。4例患者完成了研究。1例MDS亚型RA患者的血红蛋白浓度增加了6 g%。在另外3例除r-HuEpo外还接受化疗的患者中,输血需求减少了90%。随着血红蛋白的增加,铁蛋白减少。确定了r-HuEpo与内源性促红细胞生成素和铁蛋白之间的相关性。

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