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石苇,傅晓燕,詹琼,蔡宇波,匡寒琴.大剂量MTX治疗儿童ALL副作用防治研究[J].同济大学学报(医学版),2005,(1):56-58. [点击复制]
- .Study on MTX Treatment in Preventing Childhood ALL from CNSL and Its Side Effects[J].Journal of Tongji University(Medical Science),2005,(1):56-58. [点击复制]
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摘要: |
目的研究大剂量甲氨蝶呤(methotrexate,MTX)对急性淋巴细胞性白血病患儿的中枢神经系统白血病的预防,观察其毒副作用。方法13例ALL患儿接受57例次HD-MTX(每次3.0g/m^2)治疗。经综合预防措施后,观察临床症状、体征和实验室指标,总结HD-MTX的副作用发生种类、发生率及临床疗效。结果13例ALL中11例未发生CSNL,2例治疗中出现CNSL,经治疗后CR,现仍处于CCR中。13例平均CCR 31.8个月。结论儿童对HDMTX耐受性好,HD-MTX可以有效预防ALL的CNSL复发,提高长期无病生存率。 |
关键词: 甲氨蝶呤 白血病 淋巴细胞 副作用 |
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修订日期:2004-10-08 |
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Study on MTX Treatment in Preventing Childhood ALL from CNSL and Its Side Effects |
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Abstract: |
Objective To investigate the effects of high-dose methotrexate (MTX) on central nervous system leukemia (CNSL) prophylaxis in childhood ALL and to observe the toxic side effects.Methods 13 children with ALL received 57 times MTX treatment (3.0 g/m2,ever |
Key words: MTX,lymphoblastic leukemia,side effect,CNSL prevention |