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[海普瑞在治疗恶性血液病儿童肝损伤中的潜力]

[Heptral potentialities in the treatment of hepatic damage in children with malignant blood disease].

作者信息

Reĭzis A R, Nurmukhametova E A

出版信息

Ter Arkh. 1998;70(10):48-51.

PMID:9864805
Abstract

AIM

To assess benefit for children with malignant blood disease (MBD) of the hepatoprotector heptral.

MATERIALS AND METHODS

67 children with blood malignancy aged 3-14 years were examined (53 of them had acute lymphoblastic leukemia). 39 patients were in the study group (25 of them had hepatitis B or C), 28 were controls. Initially, heptral was injected intravenously (14 days) then orally (16-30 days). Activity of transaminases and number of violations of polychemotherapy protocols because of hepatic toxicity were registered.

RESULTS

Heptral administration led to inhibited activity of AlAT and AsAT especially in non-infected patients. Protocol deviations became less frequent.

CONCLUSION

Heptral is a potent hepatoprotector in hepatic lesions of toxic, viral and mixed origin.

摘要

目的

评估保肝药物阿得福韦酯对患有恶性血液病(MBD)儿童的益处。

材料与方法

对67名年龄在3至14岁的血液恶性肿瘤患儿进行了检查(其中53名患有急性淋巴细胞白血病)。39名患者进入研究组(其中25名患有乙型或丙型肝炎),28名作为对照组。最初,静脉注射阿得福韦酯(14天),然后口服(16至30天)。记录转氨酶活性以及因肝毒性导致的多药化疗方案违规次数。

结果

阿得福韦酯的使用导致谷丙转氨酶(AlAT)和谷草转氨酶(AsAT)活性受到抑制,尤其是在未感染患者中。方案偏差变得不那么频繁。

结论

阿得福韦酯在毒性、病毒性和混合性肝损伤中是一种有效的保肝药物。

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