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胃肠道癌术后腹腔、静脉化疗所致毒性反应临床分析 被引量:10

A clinical analysis of the toxicity caused by various way of chemotherapy in the patient following gastroenteric cancer operation.
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摘要 对胃肠道癌术后23例腹腔内化疗(腹腔组)与32例静脉化疗(静脉组)所致的毒性反应比较分析。腹腔组给予DDP30~60mg/M2,5-FU1~2g/M2,加入1L生理盐水,通过药泵滴入腹腔。静脉组给予DDP20~25mg/M2,5-FU05~075g/M2,部分病例加用MMC2~4mg/M2静注。结果显示,腹腔组出现腹胀较静脉组多,而恶心、呕吐,周围静脉炎,肝、肾功能异常,骨髓抑制等较少、较轻。腹痛、耳鸣及听力下降两组差异无显著性意义。说明腹腔内给药化疗毒性反应少且轻,是一安全的给药途径。  A comparison between 23 cases of toxicity caused by intraperitoneal chemotherapy(intraperitoneal group) and 32 cases of toxicity caused by intravenous chemotherapy(intravenous group).DDP 30~60mg/M2,5-FU 1~2g/M2 were given to abdominal cavity group,dripping through medicine pumps into adbominal cavity together with one litre of normal saline.DDP 20~25mg/M2,5-FU 0.5~0.75g/M2 were given to veinalgroup,together with MMC 2~4mg/M2 to some cases.Results showed more adbominal distension but less nausea,vomiting,phlebitis,abnormal functions of liver and kidney intraperitoneal group than introveous group.There was no difference in abdominal pain, tinnitus or drop of hearing between the two groups.It was proved that intraperitoneal chemotherapy is a safe way of us chemotherapy with less and lighter toxicity.
作者 陈永浙
出处 《中国实用外科杂志》 CSCD 北大核心 1998年第8期458-459,共2页 Chinese Journal of Practical Surgery
关键词 胃肠道癌 腹腔内化疗 静脉化疗 毒性反应 gastroenterie cancer intraveneous chemotherapy intraperitoneal chemotherapy toxicity
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