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前列地尔对造血干细胞移植中肝静脉闭塞病的预防作用——附45例报告 被引量:6

A study of Alprostadil for the prevention of hepatic veno-occlusive disease after hematopoietic stem cell transplantation.
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摘要 目的:评价前列地尔在造血干细胞移植中预防肝静脉闭塞病(hepaticveno-occlusivedisease,HVOD)的作用。方法:将80例次造血干细胞移植的患者分成两组,其中研究组45例次用前列地尔(每次20μg静脉滴注,每日2次,移植前8日至移植后28日使用)预防HVOD,对照组35例次则未采用预防措施。比较两组HVOD的发生率。结果:研究组未发生HVOD,对照组4例发生严重HVOD,均导致死亡。两组HVOD发生率比较有统计学意义(P<0.05)。结论:前列地尔在造血干细胞移植中预防HVOD效果好,安全可靠。 Objective: To evaluate the effect of alprostadil for the prevention of hepatic veno occlusive disease (HVOD) after hematopoietic stem cell transplantation. Methods: The clinic data of 45 cases who accepted administration of alprostadil (treat with 20 μ g alprostadil, twice daily injection of vein) were analyzed and the incidence of HVOD was compared with 35 cases who didn't accept alprostadil in the same period. Results: No HVOD occurred in the patients who acceptd alprostadil, and 4 patients who didn't accept alprostadil died from severe HVOD. Conclusion: Alprostadil is a safe and effective drug for the prevention of HVOD after hematopoietic stem cell transplantation.
出处 《新医学》 北大核心 2003年第5期296-297,共2页 Journal of New Medicine
关键词 前列地尔 造血干细胞移植 肝静脉闭塞病 预防 发生率 Hepatic veno occlusive disease Hematopoietic stem cell transplantation Alprostadil Prevention Incidence
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参考文献4

  • 1AttalM,HuguetF,RubieH,etal.Preventationofhepaticveno-occlusivediseaseafterbonemarrowtransplantationbycontinuousinfusionoflow-doseheparin:aprospective,rando-mizedtrial[].Blood.1992
  • 2RichardsonP,GuinanE.Hepaticveno-occlusivediseasefollo-winghematopoieticstemcelltransplantation[].Acta Haematologica.2001
  • 3BaglinTP.Veno-occlusivediseaseofthelivercomplicatingbonemarrowtransplantation(review)[].Bone Marrow Transplantation.1994
  • 4ShulanHM,HinterbergerW.Hepaticveno-occlusivedisease———livertoxicitysyndromeafterbonemarrowtransplantation[].Bone Marrow Transplantation.1992

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